Bruce Banias MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35052271 Issued in OH

Legal business name

BRUCE BANIAS MD LLC

Doing business as

Genesis Obstetrics & Gynecology

Practice address

3075 Governors Place Blvd
Suite 210
Dayton, OH 45409-1323

Phone

(937) 293-5200

Fax

(937) 424-5925

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Bland Banias, MDNPI 1639134703

Title

Physician Business Owner

Phone

(932) 293-5200

Specialties & licenses 2

Addresses

Other names 1

• Genesis Obstetrics & Gynecology Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Banias, M.D.

  • Obstetrics & Gynecology Physician
  • Kettering, OH
  • NPI 1639134703
  Authorized official Same address or phone
• Michelle Wallace, NP

  • Women's Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1699804641
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1699966325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "SUITE 210",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091323",
            "telephone_number": "937-293-5200",
            "fax_number": "937-424-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "SUITE 210",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091323",
            "telephone_number": "937-293-5200",
            "fax_number": "937-424-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BANIAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BANIAS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "BLAND",
        "authorized_official_title_or_position": "PHYSICIAN BUSINESS OWNER",
        "authorized_official_telephone_number": "932-293-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "3562520C",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35052271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Obstetrics & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisha Marie Broyles
• Amber Broyles
• Cassie Broyles, CNP,-FNP
• Pandora Broyles, MT
• Ross Hubbard Brubaker, DO
• Britney Lynn Bruce, RN
• David E Bruce, D.O.
• Michelle Lynn Bruce, LSW
• Paiton Layne Brueckman, PA-C
• Tyler Brueckman, PA-C

• Obstetrics & Gynecology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.