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BRYAN FALLIS NPI 1649405259


NPI Information

NPI: 1649405259
Provider Name: BRYAN FALLIS

Doing Business As: PROGRESSIVE PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1577 GOODMAN AVE STE A
CINCINNATI, OH
ZIP 45224
Phone: (513) 931-0083
Get Directions

BRYAN FALLIS is a podiatrist in Cincinnati, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRYAN FALLIS NPI is 1649405259. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Progressive Podiatry.

The provider's business location address is:

1577 GOODMAN AVE STE A
CINCINNATI, OH
ZIP 45224-044
Phone: (513) 931-0083
Fax: (859) 331-2449

The provider's authorized official is Bryan V. Fallis .
The authorized official title is Owner and has the following contact phone number (513) 931-0083.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 1/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12955422MEDICAIDOHIO
2000000619072OTHERANTHEM
32214213MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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