Individual provider Active NPI

Christian Cord Schrader, MD

  • Psychiatry Physician
  • Bowling Green, KY
National Provider Identifier
1598962946
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T9237 Issued in TX
Practice address
958 Collett Ave Ste 322
Bowling Green, KY 42101-2309
Phone
(615) 745-9058
NPI assigned
Jun 29, 2007
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T9237 TX Primary
Psychiatry Physician 2084P0800X MD-18234 HI
Psychiatry Physician 2084P0800X 59009 KY

Addresses

Primary practice location

958 Collett Ave Ste 322
Bowling Green, KY 42101-2309

Mailing address

2413 Nashville Rd Ste 310
Bowling Green, KY 42101-4101
Phone (615) 745-9058

Other practice location 1

3106 S W S Young Dr Ste B-202
Killeen, TX 76542-2000
Phone (254) 628-0056

Other identifiers 1

IdentifierTypeStateIssuer
7100977410MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230424001786 TX Practitioner - Psychiatry 2163887332
I20240828003838 KY Practitioner - Psychiatry 2163887332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Uniformed Services Uhs Fe Hebert School of Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-18234HIMDPsychiatry Physician
T9237TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Mar 1, 2025 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Mar 1, 2025 Accepting new patients
Origin Trauma and Addiction Treatment PLLC Psychiatry CurrentSince Aug 5, 2024 Accepting new patients
Ohio River Health Center Corporation Past Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

2413 Nashville Rd
Ste 310
Bowling Green, KY 42101

958 Collett Ave
Ste 322
Bowling Green, KY 42101
Phone (214) 679-7017

Interoperability endpoints

  • Direct secure messaging: christianschrader@ggc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1598962946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 NASHVILLE RD STE 310",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014101",
            "telephone_number": "615-745-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 COLLETT AVE STE 322",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012309",
            "telephone_number": "615-745-9058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 S W S Young Dr Ste B-202",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765422000",
            "country_code": "US",
            "telephone_number": "254-628-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "CHRISTIAN",
        "middle_name": "CORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T9237",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-18234",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "59009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100977410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.