National Provider Identifier Database

BRYAN V FALLIS, DPM – NPI #1083606974
Podiatrist

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.


Contact Information

BRYAN V FALLIS, DPM
2300 CHAMBERS CENTER DR
SUITE 100
FORT MITCHELL, KY41017
Phone: 859-331-2440
Fax: 859-331-2449
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for BRYAN V FALLIS

NPI Number 1083606974
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/17/2005
Last updated 05/07/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • KY License #: 00258
  • KY License #: 244160
  • OH License #: 36003149
  • KY Medicaid: 7100096290
  • KY Medicaid: 80000151
  • OH Medicaid: 2214213
  • OH Medicaid: 2955422
  • KY Other: P00732469 RAILROAD MEDICARE
  • OH Other: 000000619072 ANTHEM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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