Individual provider Active NPI

Brandon Gano, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1376092668
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004811RX Issued in OH
Practice address
460 W 10TH Ave FL 4
Columbus, OH 43210-1240
Phone
(614) 685-7489
Fax
(614) 685-6689
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.004811RX OH
Physician Assistant 363A00000X 50.004811RX OH Primary

Addresses

Primary practice location

460 W 10TH Ave FL 4
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-7489

Other practice location 1

5040 Forest Dr
Suite 300
New Albany, OH 43054-8167
Phone (614) 839-3226

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
I20161130001558 OH Practitioner - Physician Assistant 6406136894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

2121 Kenny Rd
Suite 2a
Columbus, OH 43210-3100
Phone (614) 293-8315

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

450 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

452 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

Hospital & facility affiliations

  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Surgical CurrentSince Oct 1, 2016 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Oct 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

1313 Olentangy River Rd
Fl 2
Columbus, OH 43212

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

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 4

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1376092668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-7489",
            "fax_number": "614-685-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-685-7489",
            "fax_number": "614-685-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 Forest Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430548167",
            "country_code": "US",
            "telephone_number": "614-839-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANO",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.004811RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004811RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.