Individual provider Active NPI

Jeffrey Earl Branham, CNP

  • Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1518501428
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025797 Issued in OH
Practice address
5700 Darrow Rd Ste 106
Hudson, OH 44236-5026
Phone
(216) 553-0159
Fax
(330) 319-8852
NPI assigned
Nov 4, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 APRN.CNP.025797 OH Primary

Addresses

Primary practice location

5700 Darrow Rd Ste 106
Hudson, OH 44236-5026

Mailing address

5700 Darrow Rd Ste 106
Hudson, OH 44236-5026
Phone (216) 553-0159

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
I20200116001733 OH Practitioner - Nurse Practitioner 8921433145 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

8459 Colerain Ave C
Cincinnati, OH 45239-3926
Phone (513) 815-3851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025797OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC CurrentSince Mar 15, 2020 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Jun 19, 2024 Accepting new patients
Mves Boardman LLC CurrentSince Mar 15, 2020 Accepting new patients
Ues Ahuja LLC CurrentSince Jan 1, 2020 Accepting new patients
Triad Health Services, LLC Nurse Practitioner CurrentSince Mar 7, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Feb 27, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Feb 27, 2023 Accepting new patients
Mves Austintown LLC CurrentSince Mar 15, 2020 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Mercy Health Physicians Youngstown LLC PastSince Jun 21, 2020 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

8459 Colerain Ave
Unit C
Cincinnati, OH 45239
Phone (513) 815-3851

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

225 E State Route 14
Ste 102
Columbiana, OH 44408
Phone (330) 729-1934

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

5700 Darrow Rd
Ste 106
Hudson, OH 44236
Phone (330) 576-4295

2277 Michigan St
Sidney, OH 45365
Phone (937) 492-1961

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1301 Boardman Poland Rd
Youngstown, OH 44514
Phone (330) 629-2300

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

7629 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 792-0583

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1518501428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD STE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "216-553-0159",
            "fax_number": "330-319-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD STE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "216-553-0159",
            "fax_number": "330-319-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "JEFFREY",
        "middle_name": "EARL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.