Active NPI
Bep Medical Group LLC
- Physical Medicine & Rehabilitation Physician
- Columbus, OH
National Provider Identifier
1942976741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BEP MEDICAL GROUP LLC
- Practice address
- 1505 Bethel Rd, Ste 201
Columbus, OH 43220 - Phone
- (614) 321-9870
- Fax
- (614) 482-4938
- NPI assigned
- Aug 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcia A Bockbrader Jr., MD PHD
- Title
- Owner
- Phone
- (614) 286-0305
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X |
Addresses
Primary practice location
1505 Bethel Rd, Ste 201
Columbus, OH 43220
Mailing address
2749 Trailwood LN
Ann Arbor, MI 48105
Phone (614) 286-0305
National Provider Directory
National Provider DirectoryLocations
3045 Baker Rd
Ste I
Dexter, MI 48130
Phone (734) 215-5643
1505 Bethel Rd
Ste 201
Columbus, OH 43220
Phone (614) 321-9870
209 N Main St
New Lexington, OH 43764
Interoperability endpoints
- https://api.platform.athenahealth.com/24812/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- EEG Technician
- Columbus, OH
- NPI 1750161931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1942976741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2749 TRAILWOOD LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "614-286-0305",
"fax_number": "614-482-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 BETHEL RD, STE 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43220",
"telephone_number": "614-321-9870",
"fax_number": "614-482-4938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEP MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-20",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "BOCKBRADER",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-286-0305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.