Active NPI
Bradley S Olds, M.D.
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 38168
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64047046 | Medicaid | KY | |
| 50006762 | Other | KY | PASSPORT ID# |
| 000000057464 | Other | KY | ANTHEM 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
Enrollment records 1
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
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100
Hospital & facility affiliations
- Baptist Health Louisville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38168 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Western Healthcare Services Kentucky LLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Concord Company of Tennessee PLLC | Emergency Medicine | Current | 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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Jackson, KY
- NPI 1770243842
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1811648827
Emergency Medicine
-
- Emergency Medicine Physician
- Owensboro, KY
- NPI 1184639742
-
- Emergency Care Clinic/Center
- Louisville, KY
- NPI 1942362058
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.