D. Bradley Bobbitt, M.D,.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35-07-9259-B Issued in OH

Practice address

8087 Washington Village Dr
Suite 120
Washington Township, OH 45458-1840

Phone

(937) 432-9669

Fax

(937) 432-9694

NPI assigned

Feb 7, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Allied Ear Nose Throat Institute Inc

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1619019627
  NPD (past) Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1376683599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8087 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 120",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454581840",
            "telephone_number": "937-432-9669",
            "fax_number": "937-432-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8087 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 120",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454581840",
            "telephone_number": "937-432-9669",
            "fax_number": "937-432-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "D. BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D,.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-07-9259-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373631",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augustina Yirenkyiwah Ayeh, PHARMD
• Aylin Six Angel's Care Inc.
• Esther Bassaw, APRN, CNP
• Malinda Bell
• Rashadia Bennett
• Corey Brand
• Marissa Breitenstein, RBT
• Gideon Brenner
• Jenna Bristoll
• Brenda Brock

• Otolaryngology Physician in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.