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Organization
BEP MEDICAL GROUP LLC
Active
Organization
BEP MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA A BOCKBRADER JR. MD PHD (OWNER)
(614) 286-0305
Entity
Organization
Contact information
Practice address
1505 BETHEL RD, STE 201, COLUMBUS, OH 43220
(614) 321-9870
(614) 482-4938
Mailing address
2749 TRAILWOOD LN, ANN ARBOR, MI 48105
(614) 286-0305
(614) 482-4938
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
08/20/2021
Last updated
07/29/2026
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