Active NPI
John Adolph Brose, D.O.
- Family Medicine Physician
- Athens, OH
National Provider Identifier
1760545784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34003304B
- Practice address
- University Medical Associates Inc.
2ND Floor Parks Hall
Athens, OH 45701 - Phone
- (740) 593-2516
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34003304B | OH | Primary |
Addresses
Primary practice location
University Medical Associates Inc.
2ND Floor Parks Hall
Athens, OH 45701
Mailing address
Ohio University College of Osteopathic Medicine
204 Grosvenor Hall
Athens, OH 45701
Phone (740) 593-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487754 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates Inc. | Past | Accepting new patients | |
| University Medical Associates Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Nurse
- Athens, OH
- NPI 1376889675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760545784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OHIO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE",
"address_2": "204 GROSVENOR HALL",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY MEDICAL ASSOCIATES INC.",
"address_2": "2ND FLOOR PARKS HALL",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSE",
"first_name": "JOHN",
"middle_name": "ADOLPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34003304B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487754",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.