Richard E. Broder-Oldach, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006887 Issued in OH

Practice address

150 Health Partner Circle
Mount Orab, OH 45154-9422

Phone

(937) 444-2514

Fax

(937) 444-4818

NPI assigned

Jun 18, 2005

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of New England, College of Osteo Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthsource of Ohio IncGroup PAC ID 2264328749, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
• Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.broderoldachdo.p1@direct.hsohio.nextgenshare.com

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.

• Healthsource of Ohio, Inc.

  dba HealthSource: Anderson OB/Gyn

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863
  Medicare reassignment Care Compare group NPD
• Healthsource of Ohio Inc

  dba Healthsource of Ohio Mt Orab Pharmacy

  • Community/Retail Pharmacy
  • Mount Orab, OH
  • NPI 1235379819
  NPD
• Healthsource of Ohio Inc

  dba Healthsource Seaman Pharmacy

  • Community/Retail Pharmacy
  • Seaman, OH
  • NPI 1376612119
  NPD
• Healthsource of Ohio Inc

  dba HealthSource: Williamsburg

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, OH
  • NPI 1841812393
  NPD
• Healthsource of Ohio Inc

  dba Healthsource of Ohio Batavia Pharmacy

  • Community/Retail Pharmacy
  • Batavia, OH
  • NPI 1891009502
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: New Richmond Family Practice

  • Primary Care Clinic/Center
  • New Richmond, OH
  • NPI 1184728230
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Hillsboro Health Center

  • Primary Care Clinic/Center
  • Hillsboro, OH
  • NPI 1326142480
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Lebanon

  • Clinic/Center
  • Lebanon, OH
  • NPI 1407288210

  Family Medicine

  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Mt. Orab

  • Primary Care Clinic/Center
  • Mount Orab, OH
  • NPI 1437253598
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource Blanchester

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource Georgetown Pediatrics and Family Practice

  • Primary Care Clinic/Center
  • Georgetown, OH
  • NPI 1700980869
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Eastgate Pediatrics

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1780701417
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adams County Homecare, LLC

  • Home Health Agency
  • Winchester, OH
  • NPI 1306220298
  Care Compare affiliation
• Mercy Health - Clermont Hospital LLC

  dba Clermont Hospital

  • General Acute Care Hospital
  • Batavia, OH
  • NPI 1568562551
  Care Compare affiliation

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1689679326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HEALTH PARTNER CIRCLE",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549422",
            "telephone_number": "937-444-2514",
            "fax_number": "937-444-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODER-OLDACH",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066642",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080076704",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Boshears
• David Botner
• Derek Bowles, PHARMD
• Melissa Bowman
• Julie Boychan
• Houston Bronner
• Tracy Brooks, LPN
• Brown County General Hospital
• Carl Bryant
• Devin Patricia Bryant

• Family Medicine Physician in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.