Individual provider Active NPI

Michael Randolph Bressler, D.O.

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1750359089
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34005433B Issued in OH
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

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0977920MedicaidOH

Other names 1

  • Dr. M.Randy Bressler Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000230 OH Practitioner - Obstetrics/Gynecology 6608800685 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005433BOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maternohio Clinical Associates LLC CurrentSince Feb 1, 2017 Accepting new patients
Portman OB/GYN Assoc Inc PastSince Jul 5, 1994 Accepting new patients

Locations

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

Interoperability endpoints

  • Direct secure messaging: mrandy.bresslerdo.p9@direct.maternohio.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: 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.

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

Verify at the official NPI Registry.