Individual provider Active NPI

Michael Trent McBride, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1225284276
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
42303 Issued in KY
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

Updated by the provider on May 3, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
688237MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001607 KY Practitioner - Pathology 9436315439 Reassigns benefits to 2 organizations

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
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
44508AZMDAnatomic Pathology & Clinical Pathology Physician
42303KYMDAnatomic Pathology & Clinical Pathology Physician
R1279KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince May 1, 2024 Accepting new patients
University of Kentucky CurrentSince Apr 17, 2023 Accepting new patients
St Claire Medical Center, Inc., Family Medicine CurrentSince May 1, 2024 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.