Individual provider Active NPI

Thomas A. Brandes, DO

  • Emergency Medicine Physician
  • Marietta, OH
National Provider Identifier
1265446454
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.006958 Issued in OH
Practice address
401 Matthew St
Emergency Dept
Marietta, OH 45750-1635
Phone
(740) 376-1939
Fax
(740) 374-1693
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.006958 OH Primary

Addresses

Primary practice location

401 Matthew St
Emergency Dept
Marietta, OH 45750-1635

Mailing address

9075 New England Rd
Stewart, OH 45778-9541
Phone (740) 541-0985

Other practice location 1

799 Farson St
Belpre, OH 45714-1082
Phone (740) 401-1150

Other practice location 2

206 Columbus Rd
Athens, OH 45701-1316
Phone (740) 885-4064

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000255 OH Practitioner - Emergency Medicine 7517992639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1623

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.006958OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Jul 6, 2022 Accepting new patients
Marietta Memorial Hospital Emergency Medicine CurrentSince Jul 6, 2022 Accepting new patients
Marion Physician Billing LLC Emergency Medicine Past Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

206 Columbus Rd
Athens, OH 45701
Phone (740) 331-6910

799 Farson St
Belpre, OH 45714
Phone (740) 401-1150

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1265446454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 NEW ENGLAND RD",
            "city": "STEWART",
            "state": "OH",
            "postal_code": "457789541",
            "telephone_number": "740-541-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY DEPT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-376-1939",
            "fax_number": "740-374-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Farson St",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141082",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011316",
            "country_code": "US",
            "telephone_number": "740-885-4064",
            "fax_number": "740-885-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDES",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "address_2": "Emergency Dept",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "799 Farson St",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.