Brendan Hansen

Physician Assistant · Montgomery, OH

Individual Active NPI

NPI number 1124812458

Practice location

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone
(513) 865-1111

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NPI record

NPI
1124812458
Entity type
Individual (Type 1)
Enumeration date
April 9, 2025
Last updated
August 10, 2026
Certified
August 10, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 50.010368RX OH
Student in an Organized Health Care Education/Training Program 390200000X — —
Medical Physician Assistant 363AM0700X — —

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone
(513) 246-1964
Fax
(513) 852-8525

Other practice locations (1)

  • 3219 Clifton Ave Ste 400A, Cincinnati, OH 45220-3027 · (513) 246-2400

About Brendan Hansen

Brendan Hansen is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 10500 Montgomery Rd, Montgomery, OH 45242-4402. The NPI number 1124812458 was assigned on April 9, 2025 and the record was last updated on August 10, 2026.

Brendan Hansen lists a license in the registry: #50.010368RX (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brendan Hansen?

The NPI number is 1124812458.

What is the phone number of Brendan Hansen?

The phone number listed for the practice location is (513) 865-1111.

Where is Brendan Hansen located?

10500 Montgomery Rd, Montgomery, OH 45242-4402.

What is the taxonomy code for Brendan Hansen?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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