Individual provider Active NPI

Brian Joel Yoder, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakeland, FL
National Provider Identifier
1831131994
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
OS9440 Issued in FL
Practice address
1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852
Phone
(863) 683-7171
Fax
(863) 687-0742
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS9440 FL Primary

Addresses

Primary practice location

1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852

Mailing address

1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852
Phone (863) 683-7171

Other identifiers 1

IdentifierTypeStateIssuer
2753154 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060717000027 FL Practitioner - Pathology 6901819911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Pathologists, PAGroup PAC ID 3274428982, 6 clinicians

Practice addresses (Care Compare)

1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5845
Phone (863) 683-7171

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 683-7171

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
  • Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9440FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Pathologists, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2006 Accepting new patients
Micro Path Laboratories Inc Current Accepting new patients

Locations

1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190

1125 Bartow Rd
Lakeland, FL 33801
Phone (863) 683-7171

1125 US Highway 98
Ste 101
Lakeland, FL 33801
Phone (863) 683-7171

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1831131994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BARTOW RD",
            "address_2": "SUITE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015852",
            "telephone_number": "863-683-7171",
            "fax_number": "863-687-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BARTOW RD",
            "address_2": "SUITE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015852",
            "telephone_number": "863-683-7171",
            "fax_number": "863-687-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "BRIAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS9440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2753154 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.