Bradley Evan Loiben, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101021795 Issued in MI

Practice address

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Phone

(248) 967-7795

Fax

(248) 967-7794

NPI assigned

Jun 23, 2015

Sex

Male

Sole proprietor

Yes

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 PA

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

Merit-based Incentive Payment System (MIPS)

Final score

91.67 of 100Reported as group

Quality

88.24

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.59 of 100Reported as group

Quality

88.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ahn Emergency Group of Canonsburg LTD.

  • Emergency Medicine Physician
  • Canonsburg, PA
  • NPI 1790100154
  Medicare reassignment NPD
• Ahn Emergency Group of Forbes LTD.

  • Emergency Medicine Physician
  • Monroeville, PA
  • NPI 1235554692
  Medicare reassignment NPD
• Ahn Emergency Group of Jefferson LTD

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1235518499
  Medicare reassignment NPD
• Ahn Observation Group LLC

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1437814696
  Medicare reassignment NPD

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1285016519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIBEN",
        "first_name": "BRADLEY",
        "middle_name": "EVAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101021795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Home Help Care Inc
• Lighthouse Pediatrics PLLC
• David Lipton, DDS
• Benjamin Liu
• Jay Paul Lizyness, OD
• Long Life Home Health Services LLC
• Robert Thomas Losey, ACNP
• Jeremy Lott, D.O.
• Angellette Love
• Jenifer M Lowllun, CERTIFIED PEER

• Emergency Medicine Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.

Verify at the official NPI Registry.