Individual provider Active NPI

Erika D Brudzinski, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1093787160
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
86180 Issued in OH
Practice address
11500 Northlake Dr Ste 400
Cincinnati, OH 45249-1658
Phone
(513) 742-6310
Fax
(513) 742-6318
NPI assigned
Feb 3, 2006
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 86180 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 86180 OH Primary

Addresses

Primary practice location

11500 Northlake Dr Ste 400
Cincinnati, OH 45249-1658

Mailing address

11500 Northlake Dr Ste 400
Cincinnati, OH 45249-1658
Phone (513) 742-6310

Other identifiers 2

IdentifierTypeStateIssuer
2601723MedicaidOH
000000488408OtherOHANTHEM BCBS

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
I20230313000375 OH Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Geriatric Medicine 7315979994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86180OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Mar 1, 2023 Accepting new patients
Vitas Healthcare Corporation of Ohio Hospice and Palliative Medicine CurrentSince Jun 9, 2024 Accepting new patients
Indian Creek Family Hea Past Accepting new patients
Vitas Healthcare Corporation of Ohio PastSince Dec 9, 2019 Accepting new patients
Baker Family Medicine LLC Past Accepting new patients

Locations

11500 Northlake Dr
Ste 400
Cincinnati, OH 45249
Phone (513) 706-1149

255 E 5th St
Ste 1050
Cincinnati, OH 45202

3055 Kettering Blvd
Ste 320
Moraine, OH 45439
Phone (937) 299-5379

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1093787160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NORTHLAKE DR STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491658",
            "telephone_number": "513-742-6310",
            "fax_number": "513-742-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NORTHLAKE DR STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491658",
            "telephone_number": "513-742-6310",
            "fax_number": "513-742-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDZINSKI",
        "first_name": "ERIKA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "86180",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "86180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000488408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.