NPIMap

Individual provider Active NPI

Alexis Brianne Zimmerman, DO

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1720617848
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS022908 Issued in PA
Practice address
145 Hospital Ave Ste 215
Du Bois, PA 15801-1464
Phone
(814) 371-2200
Fax
(814) 372-2573
NPI assigned
Apr 2, 2020
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS022908 PA Primary

Addresses

Primary practice location

145 Hospital Ave Ste 215
Du Bois, PA 15801-1464

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6560

Other names 1

  • Alexis Brianne Braid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926002295 PA Practitioner - Family Practice 8224456264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, shared by 39 NPIs, 424 clinicians
Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians

Practice addresses (Care Compare)

761 Johnsonburg Rd
Suite 160
Saint Marys, PA 15857-3484
Phone (814) 788-8777

88 Hospital Rd
Brookville, PA 15825-1368
Phone (814) 849-1874

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022908PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Family Medicine CurrentSince Jun 22, 2025 Accepting new patients
Dubois Regional Medical Center Family Medicine CurrentSince Jun 22, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Brookville Hospital Family Medicine CurrentSince Jun 22, 2025 Accepting new patients
Dubois Regional Medical Center Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital Past Accepting new patients
WRC Pennsylvania Memorial Home Past Accepting new patients
Jeffco Health Services, Inc. Past Accepting new patients
Elk Regional Health Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

88 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1874

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 204
Dubois, PA 15801
Phone (814) 371-4360

145 Hospital Ave
Ste 215
Dubois, PA 15801
Phone (814) 371-1717

145 Hospital Ave
Ste 315
Dubois, PA 15801
Phone (814) 371-6172

761 Johnsonburg Rd
Ste 160
Saint Marys, PA 15857
Phone (814) 788-8777

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Jefferson ManorBrookville, PA, CCN 395626 Skilled nursing facility Adp of the SNF Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1720617848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6560",
            "fax_number": "814-375-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 215",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-371-2200",
            "fax_number": "814-372-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ALEXIS",
        "middle_name": "BRIANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS022908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BRAID",
            "middle_name": "BRIANNE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.