Individual provider Active NPI

Brady Christopher Martin, D.O.

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1477840239
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP2282058A07 Issued in OH
Practice address
401 N Ewing St
Lancaster, OH 43130-3372
Phone
(740) 687-8651
Fax
(740) 687-8143
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP2282058A07 OH Primary

Addresses

Primary practice location

401 N Ewing St
Lancaster, OH 43130-3372

Mailing address

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140927000436 ID Practitioner - Family Practice 0648490573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

850 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 239-8065

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
  • Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2282058A07OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH Inc Current Accepting new patients
BMH, Inc. CurrentSince Aug 1, 2014 Accepting new patients
BMH, Inc. Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH Inc. Past Accepting new patients

Locations

1350 Parkway Dr
Ste A
Blackfoot, ID 83221

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1151 Hospital Way
Ste D100
Pocatello, ID 83201

850 Yellowstone Ave
Ste B
Pocatello, ID 83201
Phone (208) 239-8066

850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065

1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010

Interoperability endpoints

  • Direct secure messaging: bradymartin@bmh.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1477840239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8651",
            "fax_number": "740-687-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8651",
            "fax_number": "740-687-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "AP2282058A07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.