MARK J. BROERING, JR. MD – NPI #1467714824
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

MARK BROERING, JR. is a surgeon located in MONTGOMERY, OH. NPPES has assigned the NPI number 1467714824 to MARK BROERING, JR. on June 12, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Oct 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BROERING, JR. below.

NPI Profile for
MARK J. BROERING, JR.

NPI Number
1467714824
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK J. BROERING, JR.
Credentials
MD
Primary location
10506A MONTGOMERY RD
MONTGOMERY, OH 45242-4402
Phone: (513) 865-9898 Fax: (513) 865-9900
2 Other location(s):
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone: (513) 862-3562
10506 Montgomery Rd
Montgomery, OH 45242-4487
Phone: (513) 794-1601
Fax: (513) 794-1620
Mailing address
375 DIXMYTH AVE
CINCINNATI, OH 45220-2475
Phone: (513) 862-3562 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK BROERING, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2565399
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 OH 35.130473
208600000X
- Surgery		 OH 35.130473

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK BROERING, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • BETHESDA NORTH
      10500 MONTGOMERY ROAD
      CINCINNATI, OH 45242
    • GOOD SAMARITAN HOSPITAL
      375 DIXMYTH AVENUE
      CINCINNATI, OH 45220
    • HIGHLAND DISTRICT HOSPITAL
      1275 NORTH HIGH STREET
      HILLSBORO, OH 45133
    • MCCULLOUGH-HYDE MEMORIAL HOSPITAL
      110 NORTH POPLAR STREET
      OXFORD, OH 45056

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.