Active NPI
Bradley J Marzec, FNP
- Family Nurse Practitioner
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.13388
- Practice address
- 770 W High St
Suite 160B
Lima, OH 45801-3990 - Phone
- (419) 996-5224
- Fax
- (419) 996-5276
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.13388 | OH | Primary |
Addresses
Primary practice location
770 W High St
Suite 160B
Lima, OH 45801-3990
Mailing address
PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066053 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120619000277 | OH | Practitioner - Nurse Practitioner | 3870757099 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lima Specialty Care LLC
Practice addresses (Care Compare)
730 W Market St
Lima, OH 45801-4602
Phone (419) 226-4310
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
- Grand Lake Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13388 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health-St Ritas Medical Center LLC | Past | Accepting new patients |
Locations
770 W High St
Lima, OH 45801
Phone (419) 996-5240
770 W High St
Ste 160B
Lima, OH 45801
Phone (419) 996-5224
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
750 W High St
Ste 240
Lima, OH 45801
Phone (419) 996-5037
Interoperability endpoints
- bmarzec57910@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Cardiovascular Disease Physician
- Lima, OH
- NPI 1992705669
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
Hospital
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1477814523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636930",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "513-981-5123",
"fax_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W HIGH ST",
"address_2": "SUITE 160B",
"city": "LIMA",
"state": "OH",
"postal_code": "458013990",
"telephone_number": "419-996-5224",
"fax_number": "419-996-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZEC",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.13388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066053",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.