Bradley Brennan Backoff, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.003887 Issued in OH

Practice address

13719 Lorain Ave
Cleveland, OH 44111-3439

Phone

(216) 307-3005

Fax

(216) 710-5360

NPI assigned

May 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbackoff35939@ehrdirect.uhhospitals.org

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.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855
  Medicare reassignment NPD
• Wound Care Consultants LLC

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
  • NPI 1831495373
  Medicare reassignment NPD
• Dedicated Ohio Holding LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1922631019

  OH

  Medicare reassignment NPD
• Dedicated Ohio Holding LLC

  • Non-Pharmacy Dispensing Site
  • Cleveland, OH
  • NPI 1295368397
  NPD
• Northern Ohio Medical Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1255710596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113439",
            "telephone_number": "216-307-3005",
            "fax_number": "216-710-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113439",
            "telephone_number": "216-307-3005",
            "fax_number": "216-710-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKOFF",
        "first_name": "BRADLEY",
        "middle_name": "BRENNAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Kenneth Bachofsky, PCC-S
• Back 2 Business Behavioral Health Services LLC
• Back to Basics Treatment LLC
• Back to Basics Youth and Family Foundation
• Theresa Ann Backman, APRN, BC
• Elizabeth A Bacon, LISW
• Emily Randolph Bacon
• Tanisha Brianna Bacon
• Tierra Bacon, SWT BA
• Emilene A Badalamenti, LSW

• Foot & Ankle Surgery Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.