Individual provider Active NPI

Bradley Joseph Barnes, PA-C

  • Physician Assistant
  • Fairfield, OH
National Provider Identifier
1699178210
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50004137RX Issued in OH
Practice address
3050 Mack Rd Ste 200
Fairfield, OH 45014-5375
Phone
(513) 981-6784
Fax
(513) 215-9397
NPI assigned
Sep 28, 2014
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50004137RX OH Primary

Addresses

Primary practice location

3050 Mack Rd Ste 200
Fairfield, OH 45014-5375

Mailing address

3050 Mack Rd Ste 200
Fairfield, OH 45014-5375
Phone (513) 981-6784

Other practice location 1

6770 Cincinnati Dayton Rd Ste 105
Liberty Township, OH 45044-9319
Phone (513) 981-6784

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141231001795 OH Practitioner - Physician Assistant 8325361116 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50004137RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Physician Assistant CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Physician Assistant CurrentSince Jan 1, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 1, 2018 Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Past Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3050 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-4722

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

6770 Cincinnati Dayton Rd
Ste 105
Liberty Township, OH 45044
Phone (513) 559-7025

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1699178210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145375",
            "telephone_number": "513-981-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145375",
            "telephone_number": "513-981-6784",
            "fax_number": "513-215-9397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 Cincinnati Dayton Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450449319",
            "country_code": "US",
            "telephone_number": "513-981-6784",
            "fax_number": "513-981-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "BRADLEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-28",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50004137RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.