Bryan Jon Ellis, D.O.

Surgery Physician · Montgomery, OH

Individual Active NPI

NPI number 1487745964

Practice location

10506 Montgomery Rd Ste 304
Montgomery, OH 45242-4400
Phone
(513) 853-9000
Fax
(513) 984-2692

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NPI record

NPI
1487745964
Entity type
Individual (Type 1)
Enumeration date
September 27, 2006
Last updated
August 21, 2023
Certified
August 21, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 34005984 OH

Mailing address

1270 Solutions Center
PO Box 771270
Chicago, IL 60677-1002
Phone
(513) 542-6898
Fax
(513) 542-7972

About Dr. Ellis

Bryan Jon Ellis, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 10506 Montgomery Rd Ste 304, Montgomery, OH 45242-4400. The NPI number 1487745964 was assigned on September 27, 2006 and the record was last updated on August 21, 2023.

Dr. Ellis lists a license in the registry: #34005984 (OH) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Jon Ellis, D.O.?

The NPI number is 1487745964.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (513) 853-9000.

Where is Dr. Ellis located?

10506 Montgomery Rd Ste 304, Montgomery, OH 45242-4400.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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