Healthcare Provider Details

I. General information

NPI: 1962325068
Provider Name (Legal Business Name): A1 RENEW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6725 MIAMI AVE STE 201
CINCINNATI OH
45243-3158
US

IV. Provider business mailing address

6725 MIAMI AVE STE 201
CINCINNATI OH
45243-3158
US

V. Phone/Fax

Practice location:
  • Phone: 513-271-7639
  • Fax:
Mailing address:
  • Phone: 513-271-7639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN ERIC BRAXTON
Title or Position: PRESIDENT
Credential: MD
Phone: 513-271-7639