Brenden G. Tully, PA
Physician Assistant · Ashtabula, OH
Brenden G. Tully, PA is a physician assistant with a practice address in Ashtabula, Ohio, and NPI 1720765969, issued on Jun 29, 2023. Check the license (Ohio 50.008422RX, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Brenden G. Tully
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 50.008422RX OH
Self-reported in NPPES; status is on the state search - Practice location
- 2420 Lake Ave, Ashtabula, OH 44004
- Phone
- (440) 997-2262
- Enumerated
- Jun 29, 2023
- Record last updated
- Oct 10, 2023
- Medicare enrollment
- Enrolled (PECOS I20231024002114); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 5,325 in Ohio → Look up another NPI →
Also registered at 2420 Lake Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Adnan Aljafari, MDInternal Medicine Physician1730854605
- Saima Begum, M.D.Emergency Medicine Physician1710419650
- Jerry Berg, NPFamily Nurse Practitioner1467900951
- Cody Blood, DPTPhysical Therapist1467008037
- Monica Brown, ATAthletic Trainer1720575723
- Ronald Casselberry, MDAnesthesiology Physician1184619678
Verify Brenden G. Tully in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license 50.008422RXCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Bloomington Medical Services LLCWooster, OH
- Wrh Physicians, IncCuyahoga Falls, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Brenden G. Tully among 5,325 physician assistant records in Ohio
Brenden G. Tully, PA is one of 5,325 physician assistant records with a practice address in Ohio. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 76% of them.
- NPI issued2023 · 76% of these records are older, 18% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2023 · median 2019 among the 3,621 with a school on file
- Record last updated2023 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
14 physician assistant records list a practice address in Ashtabula
They are 14 of the 961 NPPES records with a practice address in Ashtabula, and 5,325 physician assistant records in Ohio.
All 5,325 in Ohio → Every provider in Ashtabula → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Sean Deeley, P.A.-CAshtabula, OH 440041336021609
- Richard Ebbert, PAAshtabula, OH 440041851435580
- James Haines, PA-CAshtabula, OH 440041659745248
- Jessi Hanhilammi, PA-CAshtabula, OH 440041851014575
- Tatyana Kuvshinikov, PA-CAshtabula, OH 440041467712455
- Samantha Meabon, PA-CAshtabula, OH 440041164813044
- Carrie Page, PA-CAshtabula, OH 440041881636926
- Sidney PowellAshtabula, OH 440041720921703
Common questions
What is Brenden G. Tully, PA's NPI number?
Brenden G. Tully, PA's National Provider Identifier (NPI) is 1720765969, issued on Jun 29, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Brenden G. Tully, PA located?
The NPPES record lists a practice address at 2420 Lake Ave, Ashtabula, OH, 44004. Phone: (440) 997-2262. Providers update this record themselves, so call before visiting.
How can I verify Brenden G. Tully, PA's license?
NPPES lists Ohio license number 50.008422RX, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.