Individual provider Active NPI

Brian Espedido Alvarez, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1548409592
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42384 Issued in KY
Practice address
4600 Beechwood Rd
Cincinnati, OH 45244-1809
Phone
(513) 943-3680
Fax
(513) 943-3699
NPI assigned
Feb 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 42384 KY Primary

Addresses

Primary practice location

4600 Beechwood Rd
Cincinnati, OH 45244-1809

Mailing address

4600 Beechwood Rd
Cincinnati, OH 45244-1809
Phone (513) 943-3680

Other practice location 1

6159 1st Financial Dr
Burlington, KY 41005-7892
Phone (859) 586-8200

Other identifiers 3

IdentifierTypeStateIssuer
3078860MedicaidOH
P00839835OtherKYRAILROAD MEDICARE
7100094620MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200511000526 KY Order and Referring Only - Family PracticePractitioner - Family Practice 3173677291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42384KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Health Care Group PSC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1548409592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BEECHWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441809",
            "telephone_number": "513-943-3680",
            "fax_number": "513-943-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BEECHWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441809",
            "telephone_number": "513-943-3680",
            "fax_number": "513-943-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6159 1st Financial Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KY",
            "postal_code": "410057892",
            "country_code": "US",
            "telephone_number": "859-586-8200",
            "fax_number": "859-586-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "BRIAN",
        "middle_name": "ESPEDIDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00839835",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100094620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.