Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brendan Divis

Individual provider Anesthesiology Physician · NPI 1104206564

Brendan Divis is an Anesthesiology in Columbus, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2015, 11 years ago. Practices with Ohio Gastroenterology Group, Inc, a 117-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone: (614) 754-5500
Fax: (614) 754-5501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35-136764 (OH)

Record details

NPI number1104206564
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2015
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address3400 Olentangy River Rd, Columbus, OH 43202-1523

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ohio Gastroenterology Group, Inc. — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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