Organization Active NPI

Mt. Auburn Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1063855294
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MT. AUBURN URGENT CARE, LLC
Practice address
2230 Auburn Ave
Suite B
Cincinnati, OH 45219-2975
Phone
(513) 621-0007
NPI assigned
Apr 8, 2013
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
David Eugene BradfordNPI 1699054437
Title
Owner
Phone
(513) 772-9065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2230 Auburn Ave
Suite B
Cincinnati, OH 45219-2975

Mailing address

2230 Auburn Ave
Cincinnati, OH 45219-2975
Phone (513) 621-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130730000270 OH Part B Supplier - Clinic/Group Practice 2062653363 Receives reassigned benefits from 6 practitioners
Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2063217Mt Auburn Urgent Care2230 Auburn Ave, Cincinnati, OH 45219AccreditationJul 29, 2026

National Provider Directory

National Provider Directory

Locations

2230 Auburn Ave
#B
Cincinnati, OH 45219
Phone (513) 621-0007

2230 Auburn Ave
Ste B
Cincinnati, OH 45219
Phone (513) 381-4100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1063855294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192975",
            "telephone_number": "513-621-2200",
            "fax_number": "513-620-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 AUBURN AVE",
            "address_2": "SUITE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192975",
            "telephone_number": "513-621-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AUBURN URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-03-13",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-772-9065"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.