Individual provider Active NPI

Brandon L. Grant, CNP

  • Nurse Practitioner
  • South Webster, OH
National Provider Identifier
1730584525
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.16741 Issued in OH
Practice address
110 Jackson St
South Webster, OH 45682-7502
Phone
(740) 778-1020
Fax
(740) 778-1022
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.16741 OH Primary

Addresses

Primary practice location

110 Jackson St
South Webster, OH 45682-7502

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other practice location 1

8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 574-9090

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brandon.grant@somc.medicity.net
Direct Messaging Address brandon.grant@somc.medicity.net

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
I20150106001214 OH Practitioner - Nurse Practitioner 4981927514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 N Jackson St
South Webster, OH 45682-7502
Phone (740) 778-1020

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Dec 1, 2014 Accepting new patients

Locations

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

110 Jackson St
South Webster, OH 45682
Phone (740) 356-8681

613 Center St
Wheelersburg, OH 45694
Phone (740) 574-0529

8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1730584525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JACKSON ST",
            "city": "SOUTH WEBSTER",
            "state": "OH",
            "postal_code": "456827502",
            "telephone_number": "740-778-1020",
            "fax_number": "740-778-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8770 Ohio River Rd",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456941918",
            "country_code": "US",
            "telephone_number": "740-574-9090",
            "fax_number": "740-356-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BRANDON",
        "middle_name": "L.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.16741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandon.grant@somc.medicity.net",
            "affiliation": "N",
            "address_1": "8770 Ohio River Rd",
            "city": "Wheelersburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456941918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandon.grant@somc.medicity.net",
            "affiliation": "N",
            "address_1": "110 Jackson St",
            "city": "South Webster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456827502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Webster, OH

Sources for this page

Verify at the official NPI Registry.