Behavior and Sleep Medicine LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35-036352 Issued in OH

Legal business name

BEHAVIOR AND SLEEP MEDICINE LLC

Practice address

4000 Miamisburg Centerville Road
Sleep Lab
Miamisburg, OH 45342

Phone

(937) 885-7556

Fax

(937) 384-4826

NPI assigned

Jul 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Grant Russell

Title

M.D.

Phone

(937) 434-4611

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1689804379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 VINTAGE LAKE COURT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454584088",
            "telephone_number": "937-885-7556",
            "fax_number": "937-384-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE ROAD",
            "address_2": "SLEEP LAB",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-885-7556",
            "fax_number": "937-384-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR AND SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "937-434-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-036352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Bates, RBT
• BCC Washington Township Operations, LLC
• Sarah Beach
• Beacon Orthopaedics & Sports Medicine, LTD
• Amanda Joan Beeman, PSYD
• Ellen Belbeck
• Benevolent Home Care LLC
• Daniel Willie Benson Sr.
• Ashley Berg
• Samuel T Bertsos, PA

• Pulmonary Disease Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.