NPIMap

Organization Active NPI

Geriatric Healthcare Services of Greater Cincinnati, LLC

  • Medical Physician Assistant
  • Middletown, OH
National Provider Identifier
1811170756
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, LLC
Practice address
2408 Hill Ave
Middletown, OH 45044-4732
Phone
(513) 569-6780
NPI assigned
Dec 13, 2007
Last updated
Aug 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Mr. Bradley BrunsNPI 1053365957
Title
Owner
Phone
(859) 372-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU

Addresses

Primary practice location

2408 Hill Ave
Middletown, OH 45044-4732

Mailing address

PO Box 427
Florence, KY 41022-0427
Phone (513) 569-6780

Other identifiers 2

IdentifierTypeStateIssuer
DN8827OtherOHRR MEDICARE
2877785MedicaidOH

Other names 1

  • Geriatric Healthcare Services, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8028 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 521-2700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1811170756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410220427",
            "telephone_number": "513-569-6780",
            "fax_number": "859-372-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 HILL AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444732",
            "telephone_number": "513-569-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-372-0711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN8827",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877785",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Healthcare Services, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.