Active NPI
Brett Joseph Brandon, PHYSICIAN ASSISTANT
- Physician Assistant
- Bradenton, FL
National Provider Identifier
1629653639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.00896RX
- Practice address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Phone
- (941) 792-6611
- NPI assigned
- Mar 11, 2021
- Last updated
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.00896RX | OH | Primary |
| Medical Physician Assistant | 363AM0700X | NU | ||
| Surgical Physician Assistant | 363AS0400X | 50.00896RX | OH |
Addresses
Primary practice location
2020 59TH St W
Bradenton, FL 34209-4604
Mailing address
2020 29TH Ave W
Bradenton, FL 34205-5251
Phone (941) 792-6611
Other practice location 1
3533 Southern Blvd Ste 2100
Kettering, OH 45429-1267
Phone (937) 395-8556
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | bbrandon919419@direct.ketteringhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, ME, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (561) 997-0821
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460
Hospital & facility affiliations
- Kettering Health Main Campus
- Chippewa County War Memorial Hospital
- Kettering Health Miamisburg
- HCA Florida Blake Hospital
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.62 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.00896RX | OH | MD | Surgical Physician Assistant |
Organizations & group practices 5
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.
-
- Specialist
- Aventura, FL
- NPI 1629019062
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
dba HealthCare America Medical Group
- Internal Medicine Physician
- Bradenton, FL
- NPI 1376779496
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1629653639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 29TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055251",
"telephone_number": "941-792-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-792-6611"
}
],
"practiceLocations": [
{
"address_1": "3533 Southern Blvd Ste 2100",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291267",
"country_code": "US",
"telephone_number": "937-395-8556",
"fax_number": "937-395-6376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDON",
"first_name": "BRETT",
"middle_name": "JOSEPH",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.00896RX",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.00896RX",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291267",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbrandon919419@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.