Active NPI
Christian Cord Schrader, MD
- Psychiatry Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T9237
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100977410 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-18234 | HI | MD | Psychiatry Physician |
| T9237 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Origin Trauma and Addiction Treatment PLLC | Psychiatry | Current | 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
- 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.
-
dba Origin Trauma and Addiction Treatment
- Psychiatry Physician
- Bowling Green, KY
- NPI 1407697972
-
dba GGC Rural Health Clinic Cave City
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
-
dba Ohio River Health Center
- Substance Abuse Rehabilitation Facility
- Louisville, KY
- NPI 1598481376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.