Bradley J. Vossberg, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

01045512A Issued in IN

Practice address

1517 Rockford CT
Kokomo, IN 46902-3207

Phone

(765) 252-3370

Fax

(765) 252-3380

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physical Medicine and Rehabilitation

Education

Indiana University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007
• Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Phun MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Kokomo, IN
  • NPI 1881316446

  Specialist

  Medicare reassignment NPD Authorized official
• Thompson & Chou Center for Physical

  • Specialist
  • New Albany, IN
  • NPI 1811324494
  NPD (past)
• Thompson and Chou Center for Physical

  • Specialist
  • Louisville, KY
  • NPI 1528062361
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Howard Regional Health, Inc

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1902878994
  Care Compare affiliation
• St. Joseph Hospital & Health Center, Inc.

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1780625442
  Care Compare affiliation

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366446122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 ROCKFORD CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023207",
            "telephone_number": "765-252-3370",
            "fax_number": "765-252-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 ROCKFORD CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023207",
            "telephone_number": "765-252-3370",
            "fax_number": "765-252-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSBERG",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-09-12",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01045512A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01045512A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044539",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Visser
• Vital Therapy
• Toni Sue Vollmer, FNP
• Sarah A Von Der Mehden, LCSW
• Cynthia J Voorhees
• Heather Michele Waddelow, LDH
• Wagoner Medical Center, LLC
• Wagoner Medical Center, LLC
• Stephanie Wahl
• Kenneth Waitt, RPH

• Specialist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
• 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.