Active NPI
Michael Randolph Bressler, D.O.
- Obstetrics & Gynecology Physician
- Columbus, OH
National Provider Identifier
1750359089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34005433B
- Practice address
- 99 N Brice Rd
Ste 120
Columbus, OH 43213-6517 - Phone
- (614) 855-0727
- Fax
- (614) 868-9996
- NPI assigned
- Mar 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34005433B | OH | Primary |
Addresses
Primary practice location
99 N Brice Rd
Ste 120
Columbus, OH 43213-6517
Mailing address
99 N Brice Rd
Ste 120
Columbus, OH 43213-6517
Phone (614) 855-0727
Other practice location 1
5969 E. Broad St.
Suite401
Columbus, OH 43213
Phone (614) 868-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0977920 | Medicaid | OH |
Other names 1
- Dr. M.Randy Bressler
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005433B | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternohio Clinical Associates LLC | Current | Accepting new patients | |
| Portman OB/GYN Assoc Inc | Past | Accepting new patients |
Locations
1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827
Interoperability endpoints
- mrandy.bresslerdo.p9@direct.maternohio.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Specialist
- Columbus, OH
- NPI 1013008192
-
- Gynecology Physician
- Columbus, OH
- NPI 1295845410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1750359089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N BRICE RD",
"address_2": "STE 120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432136517",
"telephone_number": "614-855-0727",
"fax_number": "614-868-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N BRICE RD",
"address_2": "STE 120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432136517",
"telephone_number": "614-855-0727",
"fax_number": "614-868-9996"
}
],
"practiceLocations": [
{
"address_1": "5969 E. Broad St.",
"address_2": "Suite401",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43213",
"country_code": "US",
"telephone_number": "614-868-1160",
"fax_number": "614-868-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRESSLER",
"first_name": "MICHAEL",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34005433B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0977920",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M.RANDY",
"last_name": "BRESSLER",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.