Active NPI
Brandon E Colvin, M.D.
- Surgery Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.134199
- Practice address
- 1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867 - Phone
- (419) 998-8207
- Fax
- (419) 998-8216
- NPI assigned
- Jun 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.134199 | OH | Primary |
Addresses
Primary practice location
1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867
Mailing address
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200603002299 | OH | Practitioner - General Surgery | 3870892235 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lima Memorial Professional Corporation
Practice addresses (Care Compare)
1003 Bellefontaine Ave
Suite 125
Lima, OH 45804-1867
Phone (419) 998-8207
Hospital & facility affiliations
- Lima Memorial Hospital Home Health Care
- Lima Memorial Health System
- Mercy Health St Ritas Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 27 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
L3982
Columbus, OH 43260
1005 Bellefontaine Ave
Ste 260
Lima, OH 45804
Phone (419) 223-1702
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207
Interoperability endpoints
- brandon.colvin@lmpc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Lima, OH
- NPI 1992194443
-
- Family Medicine Physician
- Lima, OH
- NPI 1669758793
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lima, OH
- NPI 1912903014
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1669733960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-998-4575",
"fax_number": "419-998-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 BELLEFONTAINE AVE STE 125",
"city": "LIMA",
"state": "OH",
"postal_code": "458041867",
"telephone_number": "419-998-8207",
"fax_number": "419-998-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "BRANDON",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.134199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.