Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bradley Alex Lisko, MD

Individual provider Pediatrics Physician · NPI 1700889003

Dr. Bradley Alex Lisko, MD is an Internal Medicine in Westerville, Ohio. Graduated from Ohio State University College of Medicine in 1991, 35 years ago. Practices with Central Ohio Primary Care Physicians, Inc, a 487-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
35
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Polaris Pkwy Ste 250
Westerville, OH 43082-8074
Phone: (614) 865-4800
Fax: (614) 865-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 350633629L (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 35063629L (OH)

Record details

NPI number1700889003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Central Ohio Primary Care Physicians, Inc. — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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