BRIAN ERIC BRAXTON MD
NPI 1528036555
Emergency Medicine in Cincinnati, OH
About Brian Eric Braxton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN ERIC BRAXTON MD (NPI 1528036555) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35079260) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Brian Eric Braxton Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Brian Braxton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 119 clinicians in this Medicare group
Wilmington, OH 45177
- Reassigned Medicare billing, Ohio enrollment
- 50 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clinton Memorial Hospital
Acute Care Hospitals · Wilmington, OHBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Braxton's NPI number?
The NPI number for Brian Braxton is 1528036555. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Brian Braxton located?
Brian Braxton practices at 6725 Miami Ave Ste 201, Cincinnati, OH 45243. The listed phone number is (513) 271-7639.
What is Brian Braxton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brian Braxton enrolled in Medicare?
Yes. Brian Braxton 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 organizations bill Medicare for Brian Braxton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Braxton reassigns Medicare benefits to 4 organizations: Qualified Emergency Specialists Inc (Montgomery, OH), Emergency Physician Associates Of Ohio, Inc (Wilmington, OH), Emergency Professional Services, Inc. (Seaman, OH) and Ohio Emergency Professionals Inc (Columbus, OH). Each 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 Brian Braxton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Braxton accept?
Health plans from CareSource list Brian Braxton 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 Brian Braxton affiliated with any hospitals?
According to CMS data, Brian Braxton is affiliated with Clinton Memorial Hospital and Bethesda North.
When was this NPI record last updated?
The NPPES record for Brian Braxton was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Brian Eric Braxton, MD · NPI 1528036555
Emergency Medicine physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 8, 2006.
## Identity
- **NPI:** 1528036555 (Entity type: Individual)
- **Enumerated:** March 8, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35079260 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6725 MIAMI AVE STE 201, Cincinnati, OH 45243-3158
- **Phone:** (513) 271-7639
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Qualified Emergency Specialists Inc (NPI 1700872728, Montgomery, OH); Emergency Physician Associates Of Ohio, Inc (NPI 1093059164, Wilmington, OH); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH); Ohio Emergency Professionals Inc (NPI 1982983425, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** August 25, 2026
- **Other identifiers:** Medicaid 2447516 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1528036555) · Data from the CMS NPPES public registry.