Active NPI
Bradley S Hochstetler, MD
- Ophthalmology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0070568
- Practice address
- 3830 W Front St
Traverse City, MI 49684-8153 - Phone
- (231) 929-3888
- Fax
- (231) 929-4365
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0070568 | MD | Primary |
Addresses
Primary practice location
3830 W Front St
Traverse City, MI 49684-8153
Mailing address
3830 W Front St
Traverse City, MI 49684-8153
Phone (231) 929-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035174100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110913000817 | MI | Practitioner - Ophthalmology | 0244356269 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Traverse City Ophthalmology PLLC
Practice addresses (Care Compare)
3830 W Front St
Traverse City, MI 49684-8153
Phone (231) 935-8101
Hospital & facility affiliations
- Munson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 331 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0070568 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traverse City Ophthalmology PLLC | Ophthalmology | Current | Accepting new patients |
Locations
7800 US Highway 131 S
Ste C
Cadillac, MI 49601
Phone (231) 779-0320
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
5080 N Royal Dr
Traverse City, MI 49684
Phone (231) 929-2500
3830 W Front St
Traverse City, MI 49684
Phone (231) 929-3888
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Traverse City, MI
- NPI 1225616279
MI, Ophthalmology
Hospital & facility affiliations 1
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": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1851383129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 W FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848153",
"telephone_number": "231-929-3888",
"fax_number": "231-929-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 W FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848153",
"telephone_number": "231-929-3888",
"fax_number": "231-929-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHSTETLER",
"first_name": "BRADLEY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0070568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035174100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.