Individual provider Active NPI

John Earl Bader Jr., RRT-ACCS,SDS, AE-C

  • Registered Respiratory Therapist
  • Hermann, MO
National Provider Identifier
1700649100
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
101349 Issued in MO
Practice address
509 W 18TH St
Hermann, MO 65041-1547
Phone
(573) 486-2191
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 101349 MO Primary
Critical Care Registered Respiratory Therapist 2279C0205X 101349 MO
Emergency Care Registered Respiratory Therapist 2279E0002X 101349 MO
Educational Registered Respiratory Therapist 2279E1000X 101349 MO
Geriatric Care Registered Respiratory Therapist 2279G0305X 101349 MO
General Care Registered Respiratory Therapist 2279G1100X 101349 MO
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X 101349 MO
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X 101349 MO
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X 101349 MO
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X 101349 MO
EEG Specialist/Technologist 246ZE0500X 101349 MO

Addresses

Primary practice location

509 W 18TH St
Hermann, MO 65041-1547

Mailing address

4205 Cotton Wood Dr
Columbia, MO 65202-4910
Phone (573) 554-4952

Other practice location 1

800 Hospital Dr
Columbia, MO 65201-5275
Phone (573) 814-6000 ext. 53373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101349MOMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1700649100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 COTTON WOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024910",
            "telephone_number": "573-554-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 18TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411547",
            "telephone_number": "573-486-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015275",
            "country_code": "US",
            "telephone_number": "573-814-6000 x53373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "JOHN",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RRT-ACCS,SDS, AE-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MO",
            "license": "101349",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "MO",
            "license": "101349",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "MO",
            "license": "101349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermann, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.