NPIMap

Individual provider Active NPI

Brent A Bader, MD

  • Internal Medicine Physician
  • Oxford, OH
National Provider Identifier
1437163151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35058277B Issued in OH
Practice address
12 W Church St
Oxford, OH 45056-1257
Phone
(513) 523-4195
Fax
(513) 523-4353
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35058277B OH Primary

Addresses

Primary practice location

12 W Church St
Oxford, OH 45056-1257

Mailing address

12 W Church St
Oxford, OH 45056-1257
Phone (513) 523-4195

Other identifiers 1

IdentifierTypeStateIssuer
0737859MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071015000177 IN Practitioner - Internal Medicine 8325072929 Reassigns benefits to 1 organization
I20120220000311 OH Practitioner - Internal Medicine 8325072929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

10058 Cooley Rd
Brookville, IN 47012-9509
Phone (765) 647-0808

10058 Cooley Rd
Brookville, IN 47012-9510

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058277BOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jun 1, 2017 Accepting new patients
Trihealth Physicians of Indiana, Inc. Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Trihealth G LLC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
McCullough-Hyde Memorial Hospital Incorporated CurrentSince Feb 1, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients
Maple Knoll Communities Inc Past Accepting new patients

Locations

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

12 W Church St
Oxford, OH 45056
Phone (513) 523-4195

5151 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2111

Interoperability endpoints

  • Direct secure messaging: bbader37203@direct.trihealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437163151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W CHURCH ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561257",
            "telephone_number": "513-523-4195",
            "fax_number": "513-523-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W CHURCH ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561257",
            "telephone_number": "513-523-4195",
            "fax_number": "513-523-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058277B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.