Individual provider Active NPI

Brady A Bahr, MD

  • Diagnostic Radiology Physician
  • Eglin Afb, FL
National Provider Identifier
1306138128
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26908 Issued in NE
Practice address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
Phone
(850) 883-8600
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 26908 NE
Student in an Organized Health Care Education/Training Program 390200000X 26908 NE
Diagnostic Radiology Physician 2085R0202X 26908 NE Primary

Addresses

Primary practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Mailing address

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
Phone (850) 883-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230922002187 OH Practitioner - Diagnostic Radiology 8123472214 Reassigns benefits to 1 organization
I20231110002058 FL Practitioner - Diagnostic Radiology 8123472214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

829 Coldwater Creek Cir
Niceville, FL 32578-1653
Phone (888) 522-4514

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26908NEMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 8, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 8, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients

Locations (25 of 30)

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

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 5

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1306138128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHR",
        "first_name": "BRADY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "26908",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "26908",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin Afb, FL

Sources for this page

Verify at the official NPI Registry.