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NPI Code Detail

MEDICARE: BRANDON HODGE

MEDICARE: BRANDON HODGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1457284291
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON HODGE
Provider Business Mailing Address
First Line : 2300 NAVARRE AVE STE 200
Second Line :
City : OREGON
State : OH
Zip : 43616-3178
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 NAVARRE AVE STE 200
Second Line :
City : OREGON
State : OH
Zip : 43616-3178
Country : US
Telephone Number : 419-708-3148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/07/2026

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Directions to “ BRANDON HODGE ” Practice Location

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