NPIMap

Organization Active NPI

Family Medical Care Associates, LLC

  • Family Medicine Physician
  • Hamilton, OH
National Provider Identifier
1073784302
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35055812 Issued in OH
Legal business name
FAMILY MEDICAL CARE ASSOCIATES, LLC
Practice address
9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone
(513) 346-5640
Fax
(513) 346-5644
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. James Thomas Brockman, M.D.
Title
Managing Member/Physician
Phone
(513) 346-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35055812 OH Primary

Addresses

Primary practice location

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709

Mailing address

9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone (513) 346-5640

Other identifiers 2

IdentifierTypeStateIssuer
080179668OtherRAILROAD MEDICARE
0928992MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1073784302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 PRINCETON GLENDALE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119709",
            "telephone_number": "513-346-5640",
            "fax_number": "513-346-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "513-346-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35055812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080179668",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.