Active NPI
Joshua M Braveman, M.D.
- Colon & Rectal Surgery Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 01100172A
- Practice address
- 621 Memorial Dr Ste 502
South Bend, IN 46601-1075 - Phone
- (574) 647-5875
- Fax
- (574) 647-5878
- NPI assigned
- Nov 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 01100172A | IN | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 35083205 | OH | |
| Colon & Rectal Surgery Physician | 208C00000X | C209109 | CA |
Addresses
Primary practice location
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
621 Memorial Dr Ste 511
South Bend, IN 46601-1075
Phone (574) 544-5580
Other practice location 2
500 Arcade Ave Ste 320
Elkhart, IN 46514-2485
Phone (574) 523-7900
Other practice location 3
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967
Other practice location 4
4972 Red Bank Rd
Galena, OH 43021-8602
Phone (614) 542-9142
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095726 | Medicaid | MA | |
| 2426271 | Medicaid | OH | |
| 300135547 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbraveman14640@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Tufts University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
285 E State St
Suite 640
Columbus, OH 43215-4322
Phone (614) 566-7444
Hospital & facility affiliations
- Grant Medical Center
- Riverside Methodist Hospital
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 36 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083205 | OH | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMB MD LLC | Colon & Rectal Surgery | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Colon & Rectal Surgery | Current | Accepting new patients |
| Ohiohealth Corporation | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
285 E State St
Ste 620
Columbus, OH 43215
Phone (614) 469-7621
285 E State St
Ste 640
Columbus, OH 43215
Phone (614) 566-0744
Dept L3652
Columbus, OH 43260
700 E Broad St
Fl 1
Columbus, OH 43215
Phone (614) 917-1670
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
5350 Frantz Rd
Dublin, OH 43016
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
Organizations & group practices 6
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.
-
- Colon & Rectal Surgery Physician
- Galena, OH
- NPI 1730035049
-
- Multi-Specialty Clinic/Center
- East Liverpool, OH
- NPI 1891756870
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1639151053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 MEMORIAL DR STE 502",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011075",
"telephone_number": "574-647-5875",
"fax_number": "574-647-5878"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr Ste 511",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011075",
"country_code": "US",
"telephone_number": "574-544-5580",
"fax_number": "574-544-5579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142485",
"country_code": "US",
"telephone_number": "574-523-7900",
"fax_number": "574-523-7909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 High Rd",
"address_purpose": "LOCATION",
"city": "Bremen",
"state": "IN",
"postal_code": "465061093",
"country_code": "US",
"telephone_number": "574-309-9967",
"fax_number": "574-309-9968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4972 Red Bank Rd",
"address_purpose": "LOCATION",
"city": "Galena",
"state": "OH",
"postal_code": "430218602",
"country_code": "US",
"telephone_number": "614-542-9142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAVEMAN",
"first_name": "JOSHUA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-20",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IN",
"license": "01100172A",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35083205",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "C209109",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2095726",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2426271",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300135547",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbraveman14640@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "285 E State St",
"address_2": "Ste 640",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432154354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.