Active NPI
Mark Joseph Broering Jr., MD
- Vascular Surgery Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35.130473
- Practice address
- 10506A Montgomery Rd
Montgomery, OH 45242-4402 - Phone
- (513) 865-9898
- Fax
- (513) 865-9900
- NPI assigned
- Jun 12, 2012
- Last updated
- Oct 10, 2023
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.130473 | OH | |
| Vascular Surgery Physician | 2086S0129X | 35.130473 | OH | Primary |
Addresses
Primary practice location
10506A Montgomery Rd
Montgomery, OH 45242-4402
Mailing address
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3562
Other practice location 1
10506 Montgomery Rd
Montgomery, OH 45242-4487
Phone (513) 794-1601
Other practice location 2
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Kentucky College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 793-2654
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
10506 Montgomery Rd
Montgomery, OH 45242-4400
110 N Poplar St
Oxford, OH 45056-1204
1275 N High St
Hillsboro, OH 45133-8273
Phone (513) 246-2400
3055 Hamilton Mason Rd
Fairfield Township, OH 45011-5307
3075 Hamilton Mason Rd
Fairfield Township, OH 45011-8532
Phone (513) 246-2400
3219 Clifton Ave
Suite 215
Cincinnati, OH 45220-3042
Phone (513) 853-9000
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
525 Tucker Dr
Maysville, KY 41056-9182
Phone (513) 865-9898
6949 Good Samaritan Dr
Cincinnati, OH 45247-5205
740 W Galbraith Rd
Cincinnati, OH 45231-6002
7777 Beechmont Ave
Cincinnati, OH 45255-4209
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 25 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Surgery | Current | Accepting new patients |
| Trihealth H LLC | Surgery | Current | Accepting new patients |
| Bethesda Hospital Inc | Past | Accepting new patients | |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
3035 Hamilton Mason Rd
Ste 200
Fairfield Township, OH 45011
Phone (513) 246-8037
10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800
10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
Interoperability endpoints
- mbroering76801@direct.trihealth.com
Organizations & group practices 6
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.
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1467714824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506A MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424402",
"telephone_number": "513-865-9898",
"fax_number": "513-865-9900"
}
],
"practiceLocations": [
{
"address_1": "10506 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452424487",
"country_code": "US",
"telephone_number": "513-794-1601",
"fax_number": "513-794-1620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-3562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROERING",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-12",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.130473",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35.130473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.