Individual provider Active NPI

Eric Bramy, DDS, MS

  • Endodontics
  • Mason, OH
National Provider Identifier
1720111891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30-02-0673 Issued in OH
Practice address
6900 Tylersville Rd
Ste C
Mason, OH 45040-1593
Phone
(513) 754-0900
Fax
(513) 754-1937
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 30-02-0673 OH Primary

Addresses

Primary practice location

6900 Tylersville Rd
Ste C
Mason, OH 45040-1593

Mailing address

6900 Tylersville Rd
Ste C
Mason, OH 45040-1593
Phone (513) 754-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228001630 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214218510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720111891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TYLERSVILLE RD",
            "address_2": "STE C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401593",
            "telephone_number": "513-754-0900",
            "fax_number": "513-754-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TYLERSVILLE RD",
            "address_2": "STE C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401593",
            "telephone_number": "513-754-0900",
            "fax_number": "513-754-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMY",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-02-0673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.