Active NPI
Bryce A Mohr, MD
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01080746A
- Practice address
- 2625 E 62ND St Ste 2010
Indianapolis, IN 46220-0037 - Phone
- (317) 251-6121
- Fax
- (317) 257-0390
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 390200000 | IN | |
| Family Medicine Physician | 207Q00000X | 01080746A | IN | Primary |
Addresses
Primary practice location
2625 E 62ND St Ste 2010
Indianapolis, IN 46220-0037
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other practice location 1
1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone (317) 512-9639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmohr@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 W McKenzie Rd
Suite H
Greenfield, IN 46140-1072
Phone (317) 462-2335
Hospital & facility affiliations
- Suburban Home Health LLC
- Hancock Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000 | IN | MD | Pediatric Dentist |
| 01080746A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Hancock Physician Network, LLC | Family Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
120 W McKenzie Rd
Ste H
Greenfield, IN 46140
Phone (317) 462-2335
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
2625 E 62nd St
Ste 2010
Indianapolis, IN 46220
Phone (317) 251-6121
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
Interoperability endpoints
- bmohr@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1609806470
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1437536869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 E 62ND ST STE 2010",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462200037",
"telephone_number": "317-251-6121",
"fax_number": "317-257-0390"
}
],
"practiceLocations": [
{
"address_1": "1520 N Senate Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022213",
"country_code": "US",
"telephone_number": "317-512-9639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHR",
"first_name": "BRYCE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "390200000",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01080746A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bmohr@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2625 E 62nd St Ste 2010",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462200037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.