Individual provider Active NPI

Bradley T Martin, MD

  • Emergency Medicine Physician
  • Liberty Township, OH
National Provider Identifier
1275564460
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.031843 Issued in OH
Practice address
7324 Yankee Rd
Suite B
Liberty Township, OH 45044-9096
Phone
(513) 779-7716
Fax
(513) 759-7163
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.031843 OH Primary

Addresses

Primary practice location

7324 Yankee Rd
Suite B
Liberty Township, OH 45044-9096

Mailing address

7324 Yankee Rd
Suite B
Liberty TWP, OH 45044-9096
Phone (513) 779-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1275564460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 YANKEE RD",
            "address_2": "SUITE B",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450449096",
            "telephone_number": "513-779-7716",
            "fax_number": "513-759-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 YANKEE RD",
            "address_2": "SUITE B",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449096",
            "telephone_number": "513-779-7716",
            "fax_number": "513-759-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.031843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.