Individual provider Active NPI

Brennon E Giles, NURSE PRACTIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheelersburg, OH
National Provider Identifier
1194034553
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.11807 Issued in OH
Practice address
8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone
(740) 356-4100
Fax
(740) 355-4182
NPI assigned
Oct 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.11807 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11807 OH

Addresses

Primary practice location

8770 Ohio River Rd
Wheelersburg, OH 45694-1918

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8425

Other practice location 1

1000 Ashland Dr
Suite 301
Ashland, KY 41101-7084
Phone (606) 326-0322

Other names 1

  • Mr. Brennon E Giles Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brennon.giles@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101104000039 OH Practitioner - Nurse Practitioner 4688868599 Reassigns benefits to 1 organization
I20130806000826 KY Practitioner - Nurse Practitioner 4688868599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

1735 27TH St
Portsmouth, OH 45662-2677
Phone (740) 356-8425

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11807OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Regional Psychotherapy Services, Inc. CurrentSince Jul 2, 2013 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Apr 1, 2020 Accepting new patients
George E. Esham, M.D. Inc. Past Accepting new patients

Locations

1000 Ashland Dr
Ste 301
Ashland, KY 41101
Phone (606) 326-0322

332 23rd St
Ashland, KY 41101
Phone (606) 324-9444

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Portsmouth, OH 45662
Phone (740) 351-0980

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1194034553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8425",
            "fax_number": "740-356-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941918",
            "telephone_number": "740-356-4100",
            "fax_number": "740-355-4182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Ashland Dr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017084",
            "country_code": "US",
            "telephone_number": "606-326-0322",
            "fax_number": "606-326-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILES",
        "first_name": "BRENNON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.11807",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "11807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brennon.giles@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1735 27th St Ste 302",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENNON",
            "last_name": "GILES",
            "middle_name": "E",
            "prefix": "MR.",
            "credential": "NURSE PRACTIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheelersburg, OH

Sources for this page

Verify at the official NPI Registry.