Individual provider Active NPI

Bruce Rodney Comisar Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Westerville, OH
National Provider Identifier
1063407765
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35-07-8418 Issued in OH
Practice address
70 S Cleveland Ave
Westerville, OH 43081-1397
Phone
(614) 890-6555
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35-07-8418 OH Primary

Addresses

Primary practice location

70 S Cleveland Ave
Westerville, OH 43081-1397

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 890-6555

Other identifiers 1

IdentifierTypeStateIssuer
2195977MedicaidOH

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
I20100310000236 OH Practitioner - Orthopedic Surgery 4688677198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

1030 Refugee Rd
Suite 180
Pickerington, OH 43147-9769
Phone (614) 890-6555

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Aug 1, 2016 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Aug 1, 2022 Accepting new patients
Sports Medicine Grant, Inc PastSince Aug 28, 2000 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

L 3973
Columbus, OH 43260

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

1030 Refugee Rd
Pickerington, OH 43147
Phone (614) 759-6626

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: bcomisar@orthon1642.srs-direct.com
  • Direct secure messaging: bruce.comisarjr.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1063407765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-890-6555",
            "fax_number": "614-523-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-890-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISAR",
        "first_name": "BRUCE",
        "middle_name": "RODNEY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35-07-8418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.