Individual provider Active NPI

Brian Pulliam, NP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1487043642
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA-16910-NP Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
Jan 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA-16910-NP OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

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
I20150304000856 OH Practitioner - Nurse Practitioner 1850617150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA-16910-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Jan 5, 2015 Accepting new patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Sep 28, 2022 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Aug 31, 2015 Accepting new patients

Locations (25 of 34)

44565 Sunset Rd
Caldwell, OH 43724
Phone (740) 732-2364

6725 Thrush Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2500

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

1151 College Ave
Columbus, OH 43209
Phone (614) 231-2200

L2540
Columbus, OH 43260

2770 Clime Rd
Columbus, OH 43223
Phone (614) 276-8222

700 Jasonway Ave
Columbus, OH 43214
Phone (418) 885-0200

1087 Dennison Ave
Fl 4
Columbus, OH 43201
Phone (614) 299-9672

1850 Crown Park Ct
Columbus, OH 43235
Phone (614) 459-7293

2870 Snouffer Rd
Columbus, OH 43235
Phone (614) 339-0459

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420

3000 Bethel Rd
Columbus, OH 43220
Phone (614) 889-6320

3710 Olentangy River Rd
Columbus, OH 43214
Phone (614) 457-1100

478 S Sandusky St
Delaware, OH 43015
Phone (740) 272-7150

2270 Warrensburg Rd
Delaware, OH 43015
Phone (740) 272-7150

4075 W Granville Rd
Dublin, OH 43017
Phone (614) 201-0541

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

167 N Stygler Rd
Gahanna, OH 43230
Phone (614) 475-8778

3399 Mill Run Dr
Hilliard, OH 43026
Phone (201) 654-5397

4660 Trueman Blvd
Hilliard, OH 43026
Phone (614) 771-4400

151 Price Rd
Newark, OH 43055
Phone (740) 366-2321

10270 Blacklick Eastern Rd
Pickerington, OH 43147
Phone (380) 228-2587

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 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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1487043642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA-16910-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.