Individual provider Active NPI

Bernard Bron Bacevich, MD

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1366788846
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35 030270 Issued in OH
Practice address
225 Hilltop LN
Cincinnati, OH 45215-4121
Phone
(513) 236-4524
Fax
(513) 521-2448
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35 030270 OH Primary

Addresses

Primary practice location

225 Hilltop LN
Cincinnati, OH 45215-4121

Mailing address

225 Hilltop LN
Cincinnati, OH 45215-4121
Phone (513) 236-4524

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 030270OHMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1366788846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HILLTOP LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154121",
            "telephone_number": "513-236-4524",
            "fax_number": "513-521-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HILLTOP LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154121",
            "telephone_number": "513-236-4524",
            "fax_number": "513-521-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACEVICH",
        "first_name": "BERNARD",
        "middle_name": "BRON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35 030270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.