Individual provider Active NPI

Devon Elena Brodine

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1710692579
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067652 Issued in PA
Practice address
1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752
Phone
(412) 267-5040
Fax
(412) 384-3505
NPI assigned
Jan 17, 2023
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007969 OH
Physician Assistant 363A00000X MA067652 PA Primary

Addresses

Primary practice location

1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752

Mailing address

2 Allegheny Ctr Ste 560
Pittsburgh, PA 15212-5402
Phone (412) 330-4461

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
I20230221003265 OH Practitioner - Physician Assistant 4082086079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1325 Stringtown Rd
Suite 280
Grove City, OH 43123-7201
Phone (614) 890-6555

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961

6785 Bobcat Way
Suite 300
Dublin, OH 43016-1443
Phone (614) 890-6555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007969OHMDPhysician Assistant
MA067652PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Jan 17, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jan 17, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

6785 Bobcat Way
Ste 300
Dublin, OH 43016

1325 Stringtown Rd
Ste 280
Grove City, OH 43123

5040 Forest Dr
New Albany, OH 43054
Phone (614) 546-4300

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2110

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: dbrodine2681387@direct.trinity-health.org
  • Direct secure messaging: devon.brodine.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1710692579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEGHENY CTR STE 560",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125402",
            "telephone_number": "412-330-4461",
            "fax_number": "412-330-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE G20",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253752",
            "telephone_number": "412-267-5040",
            "fax_number": "412-384-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODINE",
        "first_name": "DEVON",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007969",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.