Individual provider Active NPI

Gretchen I. Brannon, PA-C

  • Physician Assistant
  • Mason, OH
National Provider Identifier
1285687053
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.001892 Issued in OH
Practice address
6010 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone
(513) 246-7000
Fax
(513) 202-6355
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.001892 OH Primary

Addresses

Primary practice location

6010 S Mason Montgomery Rd
Mason, OH 45040-3706

Mailing address

4600 Wesley Ave
N
Cincinnati, OH 45212-2298
Phone (513) 246-7800

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
I20031117000629 OH Practitioner - Physician Assistant 2567376213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
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)

375 Dixmyth Ave
Cincinnati, OH 45220-2475

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

6010 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 853-9000

6020 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 204-6490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.001892OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Physician Assistant CurrentSince Feb 23, 2022 Accepting new patients
Trihealth Physician Institute Physician Assistant Past Accepting new patients
Trihealth G LLC Past Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

8240 Northcreek Dr
Cincinnati, OH 45236
Phone (513) 246-5303

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

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

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

6010 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 246-2300

8040 Princeton Glendale Rd
#1
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: gbrannon2046@direct.trihealth.com

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1285687053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7800",
            "fax_number": "513-246-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 S MASON MONTGOMERY RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403706",
            "telephone_number": "513-246-7000",
            "fax_number": "513-202-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "GRETCHEN",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.