Bryan Fallis

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BRYAN FALLIS

Practice address

1210 Ky Highway 36 E
Cynthiana, KY 41031-7498

Phone

(859) 341-2440

Fax

(859) 341-2449

NPI assigned

May 20, 2015

Last updated

Jan 29, 2020By 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

Bryan Fallis, DPM

Title

DPM/Owner

Phone

(859) 341-2440

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1720467004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-341-2440",
            "fax_number": "859-341-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-341-2440",
            "fax_number": "859-341-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN FALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "FALLIS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "859-341-2440",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Brock, DIETICIAN
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• Brown Ambulance Service Inc
• Cameron Brown
• Casie Bruin, M.ED, BCBA
• C. Karl Schulstad, M.D., PSC
• James Otto Calder, M.D.
• Alexander Caldwell, MSPT
• Shaundra Marie Call, APRN
• Mary Catherine Carroll

• Podiatrist in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.