BRYAN V FALLIS, DPM – NPI #1083606974
Podiatrist

NPI Profile for BRYAN V FALLIS in FORT MITCHELL, KY.

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.

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Contact Information

BRYAN V FALLIS, DPM

2300 CHAMBERS CENTER DR
SUITE 100
FORT MITCHELL, KY 41017

Phone: 859-331-2440
Fax: 859-331-2449
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRYAN V FALLIS · (Male)

NPI #	`1083606974`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	08/17/2005
Last updated	05/07/2024 - About 2 years ago
Sole proprietor ¹	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(s)	MERCY HOSPITAL FAIRFIELD - (Acute Care) 3000 MACK ROAD FAIRFIELD, OH 45014 ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care) 1 MEDICAL VILLAGE DRIVE LAKESIDE PARK, KY 41017

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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