NPIMap

Individual provider Active NPI

Brenton Charles Bohlig, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Zanesville, OH
National Provider Identifier
1992123335
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
35.137141 Issued in OH
Practice address
950 Bethesda Drive
Building 5, Unit 1
Zanesville, OH 43701
Phone
(740) 586-6828
Fax
(740) 586-6511
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 35.137141 OH Primary

Addresses

Primary practice location

950 Bethesda Drive
Building 5, Unit 1
Zanesville, OH 43701

Mailing address

950 Bethesda Drive
Building 5, Unit 1
Zanesville, OH 43701
Phone (740) 586-6828

Other practice location 1

4402 Churchman Ave Ste 300
Louisville, KY 40215-3101
Phone (502) 363-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241230001223 KY Practitioner - Sports Medicine 0648585273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

5129 Dixie Hwy
Suite 100
Louisville, KY 40216-1727
Phone (502) 447-3338

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.137141OHMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jan 31, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 31, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

220 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 582-7400

4402 Churchman Ave
Ste 300
Louisville, KY 40215
Phone (502) 363-0588

5129 Dixie Hwy
Ste 105
Louisville, KY 40216
Phone (502) 272-4700

Interoperability endpoints

  • Direct secure messaging: bbohlig55532@uoflhealth-dm.org

Organizations & group practices 3

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1992123335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BETHESDA DRIVE",
            "address_2": "BUILDING 5, UNIT 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-586-6828",
            "fax_number": "740-586-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BETHESDA DRIVE",
            "address_2": "BUILDING 5, UNIT 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-586-6828",
            "fax_number": "740-586-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Churchman Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402153101",
            "country_code": "US",
            "telephone_number": "502-363-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLIG",
        "first_name": "BRENTON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "35.137141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.