NPIMap

Individual provider Active NPI

Bryan Matthew Gough, M.D.

  • Neurology Physician
  • Marion, OH
National Provider Identifier
1962795963
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35126841 Issued in OH
Practice address
990 S Prospect St Ste 2
Marion, OH 43302-6283
Phone
(740) 383-7833
Fax
(740) 387-5244
NPI assigned
May 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35126841 OH Primary

Addresses

Primary practice location

990 S Prospect St Ste 2
Marion, OH 43302-6283

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bgough1541841@direct.ohiohealth.com OhioHealth Physician Group, Inc.
Direct Messaging Address bgough330151@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160929001347 OH Practitioner - Neurology 9739476060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (567) 241-7930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Neuroscience Center LLC Neurology CurrentSince Aug 3, 2016 Accepting new patients
Adena Medical Group LLC CurrentSince May 29, 2025 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Ohio State University Hospitals Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

2050 Kenny Rd
Fl 3
Columbus, OH 43221
Phone (614) 293-0363

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 5

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 8

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1962795963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S PROSPECT ST STE 2",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026283",
            "telephone_number": "740-383-7833",
            "fax_number": "740-387-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35126841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgough1541841@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "990 S Prospect St Ste 2",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgough330151@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "920 N Hamilton Rd",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432301757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.