Individual provider Active NPI

Robert Paul Brophy, MD

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1003865965
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35060597 Issued in OH
Practice address
2600 Sixth Street
Aultman Hospital
Canton, OH 44710
Phone
(330) 452-9911
Fax
(330) 588-4717
NPI assigned
May 9, 2006
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35060597 OH Primary

Addresses

Primary practice location

2600 Sixth Street
Aultman Hospital
Canton, OH 44710

Mailing address

2600 Sixth Street SW
Aultman Hospital
Canton, OH 44710
Phone (330) 452-9911

Other identifiers 1

IdentifierTypeStateIssuer
0808611MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000135 OH Practitioner - Family Practice 3274659701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Community Health CenterGroup PAC ID 3971884636, 27 clinicians
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

2600 7TH St SW
Canton, OH 44710-1709
Phone (330) 363-6242

8320 Waynesburg Dr SE
Dba Aultman Waynesburg
Waynesburg, OH 44688-9502
Phone (330) 866-2510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35060597OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital CurrentSince Oct 24, 2018 Accepting new patients
Aultman Hospital CurrentSince Oct 24, 2018 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Aultman Hospital Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

8320 Waynesburg Dr SE
Waynesburg, OH 44688
Phone (330) 866-2510

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1003865965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "address_2": "AULTMAN HOSPITAL",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-452-9911",
            "fax_number": "330-588-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET",
            "address_2": "AULTMAN HOSPITAL",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-452-9911",
            "fax_number": "330-588-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35060597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.