Individual provider Active NPI

Bradley S Olds, M.D.

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1952380255
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38168 Issued in KY
Practice address
800 Zorn Ave Dept of
Louisville, KY 40206-1433
Phone
(502) 287-5090
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38168 KY Primary

Addresses

Primary practice location

800 Zorn Ave Dept of
Louisville, KY 40206-1433

Mailing address

2120 Contemporary LN
Crestwood, KY 40014-6769
Phone (502) 376-5886

Other practice location 1

309 11th street
Carroll County Memorial Hospital
Carrollton, KY 41008
Phone (502) 732-3241

Other practice location 2

1025 New Moody Ln
LA Grange, KY 40031-9154
Phone (502) 222-5388

Other identifiers 3

IdentifierTypeStateIssuer
64047046MedicaidKY
50006762OtherKYPASSPORT ID#
000000057464OtherKYANTHEM ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031215000100 KY Practitioner - Emergency Medicine 6103723622 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38168KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Western Healthcare Services Kentucky LLC Emergency Medicine CurrentSince Jan 24, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 3, 2025 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Jul 3, 2025 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Jan 7, 2024 Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Emergency Physicians Group PSC Emergency Medicine Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

Organizations & group practices 9

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 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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1952380255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 CONTEMPORARY LN",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146769",
            "telephone_number": "502-376-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE DEPT OF",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 11th street",
            "address_2": "Carroll County Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "41008",
            "country_code": "US",
            "telephone_number": "502-732-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 New Moody Ln",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319154",
            "country_code": "US",
            "telephone_number": "502-222-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDS",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64047046",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ID#",
            "identifier": "50006762",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID#",
            "identifier": "000000057464",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.