NPIMap

Individual provider Active NPI

Nicholas C Brautigam, M.D.

  • Emergency Medicine Physician
  • Englewood, OH
National Provider Identifier
1780926212
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.127322 Issued in OH
Practice address
9000 N Main St
Englewood, OH 45415
Phone
(937) 734-9530
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.127322 OH Primary

Addresses

Primary practice location

9000 N Main St
Englewood, OH 45415

Mailing address

10949 Shallow Creek CT
Centerville, OH 45458-7501
Phone (806) 445-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001086 OH Practitioner - Emergency Medicine 8820226129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Hyperbaric Physicians IncGroup PAC ID 0547234288, 2 clinicians
Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (216) 643-2780

6100 Rockside Woods Blvd
Suite 425
Independence, OH 44131-2340
Phone (216) 643-2780

6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2340

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Pam Rehabilitation Hospital of Dayton LLC Inpatient rehabilitation facility, Miamisburg, OH, CCN 363046

Merit-based Incentive Payment System (MIPS)

Final score
99.94 of 100Reported as group
Quality
88.36
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
59.01 of 100Reported as individual
Quality
56.69
Improvement activities
0
Cost
68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.127322OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Dec 10, 2025 Accepting new patients
United Wound & Vascular Institute Ohio PLLC CurrentSince Dec 10, 2025 Accepting new patients

Locations

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1780926212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10949 SHALLOW CREEK CT",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454587501",
            "telephone_number": "806-445-1500",
            "fax_number": "806-445-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45415",
            "telephone_number": "937-734-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUTIGAM",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.127322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.