Individual provider Active NPI

Brandon Ellis Stewart, PA-C

  • Physician Assistant
  • Montgomery, OH
National Provider Identifier
1275295925
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007107RX Issued in OH
Practice address
10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone
(513) 853-9250
Fax
(513) 281-1908
NPI assigned
Oct 11, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.007107RX OH
Physician Assistant 363A00000X 50.007107RX OH Primary

Addresses

Primary practice location

10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464

Mailing address

10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone (513) 853-9250

Other practice location 1

10506 Montgomery Rd Ste 209
Montgomery, OH 45242-4400
Phone (800) 225-0953

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001638 OH Practitioner - Physician Assistant 8820489875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

3219 Clifton Ave
Suite 330
Cincinnati, OH 45220-2452
Phone (513) 853-9250

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007107RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Physician Assistant CurrentSince Dec 30, 2024 Accepting new patients
Trihealth Physician Institute Physician Assistant Past Accepting new patients

Locations

3219 Clifton Ave
Ste 330
Cincinnati, OH 45220
Phone (513) 451-7400

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10506 Montgomery Rd
Ste 209
Montgomery, OH 45242
Phone (513) 794-1601

10600 Montgomery Rd
Ste 300
Montgomery, OH 45242
Phone (513) 984-2510

Interoperability endpoints

  • Direct secure messaging: bstewart350831@direct.trihealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 6

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1275295925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD STE 300",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424464",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD STE 300",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424464",
            "telephone_number": "513-853-9250",
            "fax_number": "513-281-1908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10506 Montgomery Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424400",
            "country_code": "US",
            "telephone_number": "800-225-0953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRANDON",
        "middle_name": "ELLIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.007107RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007107RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.