Individual provider Active NPI

David M Brodbeck, PA-C

  • Surgical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1114069994
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.001205 Issued in OH
Practice address
9250 Blue Ash Rd
Cincinnati, OH 45242-6822
Phone
(513) 792-7445
Fax
(513) 791-4042
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.001205 OH Primary

Addresses

Primary practice location

9250 Blue Ash Rd
Cincinnati, OH 45242-6822

Mailing address

9250 Blue Ash Rd
Cincinnati, OH 45242-6822
Phone (513) 792-7445

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000180 OH Practitioner - Physician Assistant 0941387377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Orthopedic Associates LLCGroup PAC ID 1456477355, 30 clinicians

Practice addresses (Care Compare)

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 792-7445

3950 Red Bank Expressway
Cincinnati, OH 45227-3429
Phone (513) 333-2580

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone (513) 792-7554

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
86.85
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.001205OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Spine Institute LLC Past Accepting new patients

Organizations & group practices 4

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 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114069994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BLUE ASH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426822",
            "telephone_number": "513-792-7445",
            "fax_number": "513-791-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BLUE ASH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426822",
            "telephone_number": "513-792-7445",
            "fax_number": "513-791-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODBECK",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.001205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.