Active NPI
Michael Trent McBride, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 42303
- Practice address
- 9250 N. 3Rd Street
Suite 4000
Phoenix, AZ 85020-2432 - Phone
- (602) 633-3800
- Fax
- (602) 861-3500
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 44508 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 42303 | KY | Primary |
| Cytopathology Physician | 207ZC0500X | 42303 | KY | |
| Hematology (Pathology) Physician | 207ZH0000X | 42303 | KY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R1279 | KY |
Addresses
Primary practice location
9250 N. 3Rd Street
Suite 4000
Phoenix, AZ 85020-2432
Mailing address
9250 N 3Rd Street
Suite 4000
Phoenix, AZ 85020-2432
Phone (602) 633-3800
Other practice location 1
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688237 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmcbride28876@lickingmemorial.medicity.net | Licking Memorial Professional Corporation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Kentucky College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.64 of 100
- Quality
- 56.63
- Improvement activities
- 40
- Cost
- 74.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44508 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
| 42303 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
| R1279 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| St Claire Medical Center, Inc., | Family Medicine | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Organizations & group practices 3
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.
-
dba St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Family Medicine
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
dba St Claire Healthcare Urgent Care
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cave Run Surgical Specialists
- Surgery Physician
- Morehead, KY
- NPI 1053465666
Hospital
-
dba St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1124078696
-
dba St. Claire Family Care Clinic
- Clinic/Center
- Morehead, KY
- NPI 1689012775
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1225284276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 N 3RD STREET",
"address_2": "SUITE 4000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202432",
"telephone_number": "602-633-3800",
"fax_number": "602-861-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 N. 3RD STREET",
"address_2": "SUITE 4000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202432",
"telephone_number": "602-633-3800",
"fax_number": "602-861-3500"
}
],
"practiceLocations": [
{
"address_1": "222 Medical Cir",
"address_purpose": "LOCATION",
"city": "Morehead",
"state": "KY",
"postal_code": "403511179",
"country_code": "US",
"telephone_number": "606-783-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCBRIDE",
"first_name": "MICHAEL",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "44508",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "42303",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "KY",
"license": "42303",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "KY",
"license": "42303",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "R1279",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688237",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmcbride28876@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Professional Corporation",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.