Branden J King, DO
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Cincinnati, OH
NPI 1669969671 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1669969671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 34.014341 (OH)
- Practice address
- 2139 Auburn Ave
Cincinnati, OH 45219-2989 - Phone
- (513) 585-0855
- NPI assigned
- Apr 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio University, College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Cleveland Clinic
- Ashtabula County Medical Center
- Hillcrest Hospital
- Fairview Hospital
- Cleveland Clinic Rehabilitation Hospitals LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729002245 | OH | Practitioner - Physical Medicine and Rehabilitation | 0042567927 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.014341 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current |
Accepting new patients |
Locations
3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
2550 Som Center Rd
Willoughby Hills, OH 44094
Phone (440) 516-8620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 34.014341 | OH | Yes |
Addresses
Primary practice location
2139 Auburn Ave
Cincinnati, OH 45219-2989
Mailing address
2139 Auburn Ave
Cincinnati, OH 45219-2989
Phone (513) 585-0855
Other providers in Cincinnati, OH
- Angela P King
- Barbara J King
- Belinda King
- Bernard King
- Bradley Anthony King
- Cadence Elise King
- Celina King
- Douglas Wayne King
- Elyssa King
- Emily Jo King
All providers in Cincinnati, OH · Physical Medicine & Rehabilitation Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.