Individual provider Active NPI

Brianne N. Nicholas, M.D.

  • Surgery Physician
  • Lawrenceburg, IN
National Provider Identifier
1386171908
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01087484A Issued in IN
Practice address
368 Bielby Rd
Lawrenceburg, IN 47025-1099
Phone
(812) 496-8771
Fax
(812) 537-3936
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 56890 KY
Surgery Physician 208600000X 01087484A IN Primary

Addresses

Primary practice location

368 Bielby Rd
Lawrenceburg, IN 47025-1099

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 496-8771

Other names 1

  • Brianne Runyan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220930001618 IN Practitioner - General Surgery 4082090840 Reassigns benefits to 1 organization
I20221006003475 KY Practitioner - General Surgery 4082090840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, shared by 11 NPIs, 803 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468

368 Bielby Rd
Lawrenceburg, IN 47025-1099
Phone (812) 537-8350

Hospital & facility affiliations

  • St Elizabeth Home Care Services Home health agency, Lawrenceburg, IN, CCN 157055
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue35
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087484AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Surgery CurrentSince Aug 29, 2022 Accepting new patients
Summit Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Summit Medical Group, Inc Current Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

17525 Greendale Plaza Dr
Greendale, IN 47025
Phone (859) 301-2238

368 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 496-8771

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

Interoperability endpoints

  • Direct secure messaging: brunyan385695@direct-prd.stelizabeth.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1386171908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-496-8771",
            "fax_number": "812-537-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251099",
            "telephone_number": "812-496-8771",
            "fax_number": "812-537-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "BRIANNE",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "56890",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01087484A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "RUNYAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.