BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1629653639

BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) is a healthcare provider. based in Kettering, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 50.00896RX (OH). The NPI Number for BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) is 1629653639

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT)
NPI
1629653639
Phone
(937) 395-8556
Address
3533 Southern Blvd Ste 2100
Enumeration Date
11 March 2021
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2021 (5 years ago)
PAC ID
8628462959
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20240930003266
Address ID
OH454292405KE4441XAVEX400

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
bbrandon919419@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT)

  • 3533 Southern Blvd Ste 2100

    Kettering, OH 454291267

    Phone: (937) 395-8556

    Fax: (937) 395-6376

    Type: Location

  • 2020 59TH ST W

    BRADENTON, FL 342094604

    Phone: (941) 792-6611

    Type: Location

  • 2020 29TH AVE W

    BRADENTON, FL 342055251

    Phone: (941) 792-6611

    Type: Mailing

  • 2323 29TH AVE E

    PALMETTO, FL 342219151

    Phone: (573) 846-7732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240930003266IPhysician AssistantOHTBD
I20250204000827IPhysician AssistantMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16593$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2416$0
99239Hospital discharge day management, more than 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

How do payers reference BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT)?
For BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT), use NPI 1629653639 as the unique 10-digit identifier.
Active or inactive — what applies to BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT)?
You should see BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) as active in CMS-hosted NPPES data.
What clinical focus is listed for BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT)?
At a glance, BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) located near Kettering?
BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) currently maps to Kettering, Ohio in this extract.
When was this NPI issued?
Enumeration for BRETT JOSEPH BRANDON (PHYSICIAN ASSISTANT) is noted as March 11, 2021 where the registry provides it.

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