Individual provider Active NPI

Benjamin Edward Brown, M.D.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1508156043
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.126314 Issued in OH
Practice address
9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252
Phone
(513) 872-5000
NPI assigned
Apr 18, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0 OH
Diagnostic Radiology Physician 2085R0202X 35.126314 OH Primary

Addresses

Primary practice location

9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252

Mailing address

4706 Clarmar Rd
Louisville, KY 40299-1005
Phone (502) 494-6965

Other practice location 1

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-6484

Other identifiers 2

IdentifierTypeStateIssuer
0255927MedicaidOH
H543110OtherOHOHIO MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170519002170 OH Practitioner - Diagnostic Radiology 2264671122 Reassigns benefits to 2 organizations
I20220517002664 KY Practitioner - Diagnostic Radiology 2264671122 Reassigns benefits to 1 organization
I20250826002166 VA Practitioner - Diagnostic Radiology 2264671122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town Center Imaging 2 LLCGroup PAC ID 2860910171, 21 clinicians
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians
Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians

Practice addresses (Care Compare)

4677 Columbus St
Suite 101
Virginia Beach, VA 23462-6746
Phone (757) 943-3660

4805 Montgomery Rd
Suite 150
Cincinnati, OH 45212-2280
Phone (513) 961-4700

60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6252
Phone (513) 872-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.126314OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology CurrentSince Jul 6, 2017 Accepting new patients
Town Center Imaging 2 LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370

4677 Columbus St
Ste 101
Virginia Beach, VA 23462
Phone (757) 943-3660

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508156043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 CLARMAR RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991005",
            "telephone_number": "502-494-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD STE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426252",
            "telephone_number": "513-872-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-584-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.126314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255927",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICARE PTAN",
            "identifier": "H543110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.