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Deactivated NPI 1407431471 Deactivated / Inactive NPI Male Practitioner

Robert Brannon

Peer Specialist • Columbus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Brannon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 11, 2021
NPI Deactivation Date April 30, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Robert Brannon was a registered Peer Specialist practicing in Columbus, OH. Throughout an active medical career spanning 5 years, Robert Brannon provided care at the practice location at 4000 E MAIN ST until profile deactivation on 2026-04-30.

Practice Location & Contact Primary Location

Practice Address

4000 E Main St

Columbus, OH 432132950

Telephone 6143346903
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
404 Specialists

Practicing in Columbus, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Thomas-Blackwell , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003396045

Chemical Dependency Counselor Assistant

Moffou Tchoula

Social Worker - Clinical

NPI 1003450511
John Lyons

Technician

NPI 1003488818
Mary Sayer

Registered Nurse

NPI 1013737873
Toluwalase Ojo

Case Manager/Care Coordinator

NPI 1013763085
Marlisa Love

Case Manager/Care Coordinator

NPI 1023723731

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 30, 2026

Record deactivated on April 30, 2026

NPI Profile Active March 11, 2021

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2021

Registered at 4000 E MAIN ST, COLUMBUS, OH 432132950 (Tel: 6143346903)

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Updated Business Mailing Address March 11, 2021

Registered at 4000 E MAIN ST, COLUMBUS, OH 432132950 (Tel: 6143346903)

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Provider Name / Credentials Updated March 11, 2021

Recorded as ROBERT BRANNON

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Peer Specialist

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Initial NPI Registration & Enumeration March 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407431471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2021
Last Update: March 11, 2021
Deactivation Date: April 30, 2026

Mailing Address

4000 E Main St

Columbus, OH 432132950

Phone: 6143346903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.