Individual provider Active NPI

Brad Stewart Goldman, M.D.

  • Emergency Medicine Physician
  • Hillsboro, OH
National Provider Identifier
1700877933
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-075222 Issued in OH
Practice address
1275 N High St
Hillsboro, OH 45133-8273
Phone
(937) 393-6100
Fax
(614) 293-2809
NPI assigned
Nov 5, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 19

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health Professionals 235 clinicians

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055-1822

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040907000989 OH Practitioner - Emergency Medicine 2668448101 Reassigns benefits to 8 organizations
I20240927000728 IL Practitioner - Emergency Medicine 2668448101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-075222OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jun 19, 2024 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jul 3, 2024 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Oct 29, 2024 Accepting new patients
Osup Community Outreach LLC CurrentSince Aug 1, 2024 Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
River Valley Physicians, LLC CurrentSince Nov 1, 2024 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jun 19, 2024 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jul 3, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Mar 1, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Mid-Ohio Emergency Services, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

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

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • Direct secure messaging: brad.goldman.1@16701.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-075222 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1275 N High St
Hillsboro, OH 45133-8273

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3963

Other practice location 1

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 456-2695

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address bgoldman38481@lickingmemorial.medicity.net Licking Memorial Professional Corporation

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2024.

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1700877933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338273",
            "telephone_number": "937-393-6100",
            "fax_number": "614-293-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-456-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BRAD",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-075222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgoldman38481@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Professional Corporation",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.