Individual provider Active NPI

Brent Alan Cale, M.D.

  • Family Medicine Physician
  • Pickerington, OH
National Provider Identifier
1821063918
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35073379 Issued in OH
Practice address
13333 Canyon LN
Pickerington, OH 43147-8042
Phone
(614) 834-0496
NPI assigned
Feb 22, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35073379 OH Primary

Addresses

Primary practice location

13333 Canyon LN
Pickerington, OH 43147-8042

Mailing address

13333 Canyon LN
Pickerington, OH 43147-8042
Phone (614) 834-0496

Other identifiers 1

IdentifierTypeStateIssuer
2207570MedicaidOH

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
I20070719000616 OH Practitioner - Family PracticePractitioner - Emergency Medicine 9133190820 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Employer Services, LLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Genesis Emergency Physicians LLC Family Medicine Past Accepting new patients
Brent Alan Cale, M.D., PC Family Medicine PastSince May 24, 2006 Accepting new patients
Muskingum Emergency Physicia Past Accepting new patients

Locations

5555 Cleveland Ave
Columbus, OH 43231
Phone (614) 788-5280

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1821063918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 CANYON LN",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478042",
            "telephone_number": "614-834-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 CANYON LN",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478042",
            "telephone_number": "614-834-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALE",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.