Organization Active NPI

D. Bradley Bobbitt MD, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1124278809
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
35079259 Issued in OH
Legal business name
D. BRADLEY BOBBITT MD, LLC
Practice address
9157 Montgomery Rd
Suite 101
Cincinnati, OH 45242-7731
Phone
(513) 936-8777
Fax
(513) 936-8778
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. David Bradley Bobbitt, M.D.
Title
Owner
Phone
(513) 936-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 35079259 OH Primary

Addresses

Primary practice location

9157 Montgomery Rd
Suite 101
Cincinnati, OH 45242-7731

Mailing address

9157 Montgomery Rd
Suite 101
Cincinnati, OH 45242-7731
Phone (513) 936-8777

Other identifiers 1

IdentifierTypeStateIssuer
2373631MedicaidOH

National Provider Directory

National Provider Directory

Locations

9157 Montgomery Rd
Ste 101
Cincinnati, OH 45242
Phone (513) 936-8777

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1124278809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-936-8777",
            "fax_number": "513-936-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-936-8777",
            "fax_number": "513-936-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. BRADLEY BOBBITT MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-936-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35079259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373631",
            "state": "OH"
        }
    ],
    "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 Sep 30, 2008; 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.