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Deactivated NPI 1962098582 Deactivated / Inactive NPI Female Practitioner

Roberta Anne Brannon

Private Vehicle • Reesville, 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, Roberta Brannon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 17, 2020
NPI Deactivation Date October 25, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Roberta Brannon was a registered Private Vehicle practicing in Reesville, OH. Throughout an active medical career spanning 3 years, Roberta Brannon provided care at the practice location at 121 JORDAN STREET until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

121 Jordan Street

Reesville, OH 451660021

Telephone 7405319049

Specialty Benchmarks & Practice Insights

Comparative analytics for Private Vehicle in Reesville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Reesville, OH (395 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

Private Vehicle Primary Specialty

NUCC Taxonomy Code: 347C00000X

State License OH 1400157

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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 October 25, 2023

Record deactivated on October 25, 2023

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NPI Profile Active December 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2020

Registered at 121 JORDAN STREET, REESVILLE, OH 451660021 (Tel: 7405319049)

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Updated Business Mailing Address December 17, 2020

Registered at PO BOX 21, REESVILLE, OH 451660021 (Tel: 7405319049)

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Provider Name / Credentials Updated December 17, 2020

Recorded as ROBERTA BRANNON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Private Vehicle (License #1400157 in OH)

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Initial NPI Registration & Enumeration December 17, 2020

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: 1962098582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2020
Last Update: December 17, 2020
Deactivation Date: October 25, 2023
Update or Correct Profile

Mailing Address

Po Box 21

Reesville, OH 451660021

Phone: 7405319049

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.