NPIMap

Individual provider Active NPI

Edward L Brose III, MD

  • Anesthesiology Physician
  • Cincinnati, OH
National Provider Identifier
1922065176
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35056144 Issued in OH
Practice address
375 Dixmyth Avenue
Cincinnati, OH 45220-2475
Phone
(513) 872-2432
Fax
(513) 872-8857
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 35056144 OH Primary

Addresses

Primary practice location

375 Dixmyth Avenue
Cincinnati, OH 45220-2475

Mailing address

PO Box 640738
Cincinnati, OH 45264-0738
Phone (800) 754-9764

Other identifiers 3

IdentifierTypeStateIssuer
000000215973OtherOHANTHEM
0813516MedicaidOH
64272115MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000745 OH Practitioner - Anesthesiology 4183529050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice Inc 396 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

110 N Poplar St
Oxford, OH 45056-1204
Phone (513) 523-2111

3660 Edgewood Dr
Cincinnati, OH 45211-1820
Phone (513) 591-6200

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2432

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35056144OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
Physicians Anesthesia Service Inc Anesthesiology Past Accepting new patients
St. Luke Hospitals Inc Past Accepting new patients
Pain Care Institute, LTD. Past Accepting new patients

Locations

7575 US Highway 42
Florence, KY 41042
Phone (606) 283-9100

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

6480 Harrison Ave
Ste 200
Cincinnati, OH 45247
Phone (513) 354-7787

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922065176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640738",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640738",
            "telephone_number": "800-754-9764",
            "fax_number": "937-293-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-872-2432",
            "fax_number": "513-872-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35056144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000215973",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813516",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64272115",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.