| Bruce A Brumfiel, MD | |
|
4244 Indian Ripple Rd, Ste 300, Dayton, OH 45440-3279 | |
| (937) 429-3366 | |
| (937) 429-0956 |
| Full Name | Bruce A Brumfiel |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 4244 Indian Ripple Rd, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699880609 | NPI | - | NPPES |
| 000000010664 | Other | OH | ANTHEM |
| D33638 | Other | OH | HUMANA |
| P00362836 | Other | OH | RAILROAD MEDICARE |
| 1059 | Other | OH | NATIONWIDE |
| 310964774 | Other | TAX ID | |
| 4050965 | Other | OH | AETNA |
| 0320013 | Other | OH | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 35033638B (Ohio) | Primary |
| Entity Name | Dermatologists Of Southwestern Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Brumfiel, MD 4244 Indian Ripple Rd., Ste. 300, Beavercreek, OH 45440-7709 Ph: (937) 429-0674 | Bruce A Brumfiel, MD 4244 Indian Ripple Rd, Ste 300, Dayton, OH 45440-3279 Ph: (937) 429-3366 |
Dr. Samia W Borchers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5727 Far Hills Ave, Dayton, OH 45429 Phone: 937-435-4977 Fax: 937-435-0377 | |
Thomas George Olsen, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7835 Paragon Rd, Dayton, OH 45459 Phone: 937-434-2351 Fax: 937-434-1381 | |
Rocco Thomas Serrao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5300 Far Hills Avenue, Dayton, OH 45429 Phone: 937-433-7536 Fax: 937-433-9612 | |
Dr. Rishi Kumar Gandhi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 999 Brubaker Dr Ste 3, Dayton, OH 45429 Phone: 937-668-9850 Fax: 937-668-8668 | |
Phillip K. Hall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5300 Far Hills Ave., Dayton, OH 45429 Phone: 937-433-7536 Fax: 937-433-9612 | |
Dr. Jason Scott Ballin, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5300 Far Hills Ave, Dayton, OH 45429 Phone: 937-312-3820 | |
Eugene Brent Kirkland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5300 Far Hills Avenue, Dayton, OH 45429 Phone: 937-291-8814 Fax: 937-433-4043 |