NPIMap

Individual provider Active NPI

Brandon J Bell, M.D.

  • Family Medicine Physician
  • Kettering, OH
National Provider Identifier
1669683090
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.120256 Issued in OH
Practice address
1900 Composite Dr
Kettering, OH 45420-1475
Phone
(937) 293-8419
Fax
(937) 293-1545
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100400 FL
Family Medicine Physician 207Q00000X 35.120256 OH Primary

Addresses

Primary practice location

1900 Composite Dr
Kettering, OH 45420-1475

Mailing address

1900 Composite Dr
Kettering, OH 45420-1475
Phone (937) 293-8419

Other practice location 1

3300 Princeton Rd
Fairfield Township, OH 45011-5390
Phone (513) 868-9999

Other identifiers 1

IdentifierTypeStateIssuer
0097236MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001594 OH Practitioner - Family Practice 9931285871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 Composite Dr
Kettering, OH 45420-1475
Phone (937) 293-8419

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince Jul 19, 2023 Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine CurrentSince Jul 19, 2023 Accepting new patients
Mercy Health Urgent Care LLC Family Medicine Past Accepting new patients
St Anthony's Primary Care LLC Family Medicine Past Accepting new patients
Access Healthcare LLC Family Medicine Past Accepting new patients
Doctors at Home LLC Past Accepting new patients

Locations

1900 Composite Dr
Kettering, OH 45420
Phone (937) 293-8419

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

Hospital & facility affiliations 3

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1669683090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COMPOSITE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201475",
            "telephone_number": "937-293-8419",
            "fax_number": "937-293-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COMPOSITE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201475",
            "telephone_number": "937-293-8419",
            "fax_number": "937-293-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Princeton Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450115390",
            "country_code": "US",
            "telephone_number": "513-868-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "BRANDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.120256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.