Bradley Steven Soder, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35087576 Issued in OH

Practice address

428 County Line Road
Westerville, OH 43082-7027

Phone

(614) 847-4100

Fax

(614) 430-1601

NPI assigned

Jul 1, 2006

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

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

Dermatology

Education

Medical College of Ohio, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of North Central Ohio IncGroup PAC ID 7113058801, 11 clinicians

Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.35 of 100Reported as group

Promoting interoperability

91

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.85 of 100Reported as group

Promoting interoperability

81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bsoder@qdp.emadirect.md

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.

• Advanced Dermatology of North Central Ohio Inc

  • Procedural Dermatology Physician
  • Mansfield, OH
  • NPI 1073528733
  Medicare reassignment Care Compare group NPD
• Center for Surgical Dermatology Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1972532091
  Medicare reassignment Care Compare group NPD
• Blodgett Dermatology Inc.

  • Dermatology Physician
  • Chillicothe, OH
  • NPI 1942400023
  NPD (past)
• CSD ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Westerville, OH
  • NPI 1821159823
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1740219872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODER",
        "first_name": "BRADLEY",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35087576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea N Snyder, MD
• Courtney Snyder, STUDENT
• Maribeth Snyder, RN
• Jennifer Sobecki
• Thomas Mackenzie Sodeman
• Mary Soeum, LICENSED PEDICURIST
• Diane D Sokol, LMT
• Olawale Solaja, MPH, MSN, RN
• Olaya Lizette Solis, M.D.
• Dominic Solli, C.T.

• Dermatology Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.