Individual provider Active NPI

Brooke Elizabeth Severance, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1437831476
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009545RX Issued in OH
Practice address
520 W 10TH Ave
Columbus, OH 43210-1328
Phone
(614) 293-2663
Fax
(614) 293-2053
NPI assigned
Aug 1, 2023
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 50.009545RX OH Primary

Addresses

Primary practice location

520 W 10TH Ave
Columbus, OH 43210-1328

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-2663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooke.severance@marshall.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250925002982 WV Practitioner - Physician Assistant 8224533666 Reassigns benefits to 1 organization
I20260605001311 OH Practitioner - Physician Assistant 8224533666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2200

1600 Medical Ctr Dr
Huntington, WV 25701-3655

2211 3Rd Ave
Huntington, WV 25703-1225
Phone (304) 691-1880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.009545RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 10, 2025 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 10, 2025 Accepting new patients

Locations

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262

2211 3rd Ave
Huntington, WV 25703
Phone (304) 691-1880

Interoperability endpoints

  • Direct secure messaging: brooke.severance@marshall.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1437831476",
    "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": "614-293-2663",
            "fax_number": "614-293-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101328",
            "telephone_number": "614-293-2663",
            "fax_number": "614-293-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009545RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.severance@marshall.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite G500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.