Individual provider Active NPI

Brian Jacob Schutter, BS

  • Anesthesiology Physician
  • Beavercreek, OH
National Provider Identifier
1790543775
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
125.086908 Issued in IL
Practice address
3640 Colonel Glenn Hwy
Beavercreek, OH 45324-2096
Phone
(937) 775-2934
NPI assigned
Mar 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125.086908 IL Primary

Addresses

Primary practice location

3640 Colonel Glenn Hwy
Beavercreek, OH 45324-2096

Mailing address

3075 Ashton Brooke Dr Apt 7
Beavercreek, OH 45431-8887
Phone (937) 716-4165

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
125.086908ILMDAnesthesiology Physician

Interoperability endpoints

  • Direct secure messaging: bschutter188780@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1790543775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ASHTON BROOKE DR APT 7",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318887",
            "telephone_number": "937-716-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "453242096",
            "telephone_number": "937-775-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTER",
        "first_name": "BRIAN",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.086908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.