Active NPI
John Earl Bader Jr., RRT-ACCS,SDS, AE-C
- Registered Respiratory Therapist
- Hermann, MO
National Provider Identifier
1700649100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 101349
- Practice address
- 509 W 18TH St
Hermann, MO 65041-1547 - Phone
- (573) 486-2191
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101349 | MO | MD | Registered 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.