Active NPI
Breanne Fox
- Psychiatric/Mental Health Nurse Practitioner
- Montgomery, OH
National Provider Identifier
1235062951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0042315
- Practice address
- 10547 Montgomery Rd # 400
Montgomery, OH 45242-4418 - Phone
- (513) 982-6077
- NPI assigned
- Jun 3, 2026
- Last updated
- Jul 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0042315 | OH | Primary |
Addresses
Primary practice location
10547 Montgomery Rd # 400
Montgomery, OH 45242-4418
Mailing address
10547 Montgomery Rd # 400
Montgomery, OH 45242-4418
Other practice location 1
18660 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3483
Phone (440) 973-8400
Other names 1
- Bre Fox
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18660 Bagley Rd
Suite 101
Cleveland, OH 44130-3446
18660 Bagley Rd
Suite 101
Cleveland, OH 44130-3483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0042315 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1235062951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10547 MONTGOMERY RD # 400",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10547 MONTGOMERY RD # 400",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424418",
"telephone_number": "513-982-6077"
}
],
"practiceLocations": [
{
"address_1": "18660 Bagley Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Middleburg Heights",
"state": "OH",
"postal_code": "441303483",
"country_code": "US",
"telephone_number": "440-973-8400",
"fax_number": "440-201-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "BREANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0042315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRE",
"last_name": "FOX",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.