Brandon Sufronko

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

774 Internet Dr
Columbus, OH 43207-2589

Phone

(614) 443-5454

NPI assigned

Mar 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dtac of Ohio LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
  • NPI 1851096473
  NPD (past)
• Hittle House LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Columbus, OH
  • NPI 1720366511
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1689132763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 HAPPY HOLLOW RD",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649487",
            "telephone_number": "740-590-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 INTERNET DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072589",
            "telephone_number": "614-443-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFRONKO",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M. Suelves Cogollos, MD
• Matthew Suer
• Camilo Suescum, MD
• Lara Suever, RPH
• Sufficient Home Health Services LLC
• Yvonne A. Suggs, BSN, MSN, CNP
• Sana Sughra, MD
• Daniel F. Suglio, AA
• Evan Sugrue, SWT
• Kathleen Lynn Sugrue, MD

• Case Manager/Care Coordinator in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.