Individual provider Active NPI

Brycen Minton, NP

  • Family Nurse Practitioner
  • Pomeroy, OH
National Provider Identifier
1336977628
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037100. Issued in OH
Practice address
41861 Pomeroy Pike
Pomeroy, OH 45769-9473
Phone
(740) 992-4820
NPI assigned
Jul 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037100. OH Primary

Addresses

Primary practice location

41861 Pomeroy Pike
Pomeroy, OH 45769-9473

Mailing address

PO Box 390
Huntington, WV 25708-0390
Phone (304) 563-0509

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
I20241204004291 OH Practitioner - Nurse Practitioner 8325574031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037100.OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holzer Clinic, LLC CurrentSince Oct 19, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Aug 16, 2024 Accepting new patients
Ohio Valley Physicians Inc Family CurrentSince Aug 16, 2024 Accepting new patients

Locations

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

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

41861 Pomeroy Pike
Pomeroy, OH 45769
Phone (740) 992-4810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1336977628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-563-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41861 POMEROY PIKE",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699473",
            "telephone_number": "740-992-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "BRYCEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037100.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, OH

Sources for this page

Verify at the official NPI Registry.