Individual provider Active NPI

Brandon Edward Guth, PA-C

  • Physician Assistant
  • Richmond, IN
National Provider Identifier
1629587282
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002317A Issued in IN
Practice address
1350 Chester Blvd Ste a
Richmond, IN 47374-1963
Phone
(765) 935-8914
NPI assigned
Sep 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 10002317A IN Primary

Addresses

Primary practice location

1350 Chester Blvd Ste a
Richmond, IN 47374-1963

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20171109000066 IN Practitioner - Physician Assistant 3779849658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1350 Chester Blvd
Suite a
Richmond, IN 47374-1963
Phone (765) 935-8914

Hospital & facility affiliations

  • Reid-Anc Home Care Services LLC Home health agency, Richmond, IN, CCN 157231
  • Reid Health Hospital, Richmond, IN, CCN 150048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jan 16, 2023 Accepting new patients
Reid Physician Associates, Inc. Physician Assistant CurrentSince Jan 16, 2023 Accepting new patients

Locations

1350 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 935-8914

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • Direct secure messaging: bguth471774@reidhealth.direct-ci.com

Organizations & group practices 8

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 2

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1629587282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CHESTER BLVD STE A",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741963",
            "telephone_number": "765-935-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTH",
        "first_name": "BRANDON",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002317A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.