Individual provider Active NPI

Douglas A Bruns, DO

  • Diagnostic Radiology Physician
  • Batesville, IN
National Provider Identifier
1194724641
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34006256B Issued in OH
Practice address
321 Mitchell Ave
Batesville, IN 47006-8909
Phone
(812) 933-5018
Fax
(812) 933-5472
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34006256B OH Primary

Addresses

Primary practice location

321 Mitchell Ave
Batesville, IN 47006-8909

Mailing address

PO Box 236
Batesville, IN 47006-0236
Phone (812) 933-5441

Other identifiers 3

IdentifierTypeStateIssuer
940080125OtherINMEDICARE
200265810MedicaidIN
0194981MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address douglas.bruns@mmhealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031209001021 OH Practitioner - Diagnostic Radiology 1052216090 Reassigns benefits to 1 organization
I20070720000363 IN Practitioner - Diagnostic Radiology 1052216090 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006256BOHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince Apr 9, 2020 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Margaret Mary Community Hospital, Inc CurrentSince Apr 9, 2020 Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Millennium Radiology Inc Diagnostic Radiology PastSince Feb 1, 2002 Accepting new patients
Northeast Radiology Inc PastSince Jun 1, 2002 Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret Mary Community Hospital Inc 70 clinicians

Practice addresses (Care Compare)

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 933-5018

Hospital & facility affiliations

  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1194724641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236",
            "telephone_number": "812-933-5441",
            "fax_number": "812-933-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MITCHELL AVE",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068909",
            "telephone_number": "812-933-5018",
            "fax_number": "812-933-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34006256B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "940080125",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200265810",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194981",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "douglas.bruns@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "321 Mitchell Ave",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "470068909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.