BRANDON GAVIOLA
NPI 1396610937
Nurse Practitioner in Camden, NJ

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
3 COOPER PLZ RM 314, CAMDEN, NJ 08103(856) 963-6770 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 24, 2025, Oct 6, 2025 (2 updates tracked since 2025).

About Brandon Gaviola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON GAVIOLA (NPI 1396610937) is an individual nurse practitioner in Camden, New Jersey, licensed in New Jersey (26NJ15352600) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1396610937
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRANDON GAVIOLA
Location Address3 COOPER PLZ RM 314Camden, NJ 08103-1438
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 6, 2025
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1396610937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ15352600
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ15352600 (NJ)
3 COOPER PLZ RM 314, Camden, NJ 08103

Secondary Practice Location 1

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 342-2425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Gaviola is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668966409
PECOS Enrollment IDI20251210000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Gaviola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
3 COOPER PLZ, SUITE 314
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3 COOPER PLZ RM 314
CAMDEN, NJ 08103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Gaviola's NPI number?

The NPI number for Brandon Gaviola is 1396610937. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Brandon Gaviola located?

Brandon Gaviola practices at 3 Cooper Plz Rm 314, Camden, NJ 08103. The listed phone number is (856) 963-6770.

What is Brandon Gaviola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brandon Gaviola enrolled in Medicare?

Yes. Brandon Gaviola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandon Gaviola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Gaviola reassigns Medicare benefits to Chc Pain Management Center, PA (Camden, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Gaviola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Gaviola accept?

Health plans from Ambetter Health and Oscar Health list Brandon Gaviola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Gaviola affiliated with any hospitals?

According to CMS data, Brandon Gaviola is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Gaviola was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.