MEDICARE: CITY OF BELLBROOK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590015314	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000230222	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1558361709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF BELLBROOK

Provider Business Mailing Address
First Line	:	15 E FRANKLIN ST
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-2004
Country	:	US
Telephone Number	:	937-291-7850
Fax Number	:	937-291-2971

Provider Business Practice Location Address
First Line	:	35 N WEST ST
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-1914
Country	:	US
Telephone Number	:	937-848-3272
Fax Number	:	937-848-5196

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	ANTHONY BIZZARRO
Credential	:
Telephone Number	:	937-848-3272

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	02/07/2023

Similar Medicare Providers

1659374171 — DR. THOMAS H HENDERSON D.O.
Practice Location Address:

4120 W FRANKLIN ST
BELLBROOK, OH
45305-1547

Practice Phone: 937-848-6421
Practice Fax: 937-848-6391

1003815762 — 1957 N. LAKEMAN AVENUE OPERATING COMPANY, LLC
Practice Location Address:

1957 N LAKEMAN DR
BELLBROOK, OH
45305-1212

Practice Phone: 937-848-7800
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1619977717 — DR. MARC BARRETT STERNBERG DDS
Practice Location Address:

4403 STATE ROUTE 725 , SUITE C
BELLBROOK, OH
45305-2700

Practice Phone: 937-848-8662
Practice Fax: 937-848-2317

1780678847 — DR. KENNETH R. GILFILLAN O.D.
Practice Location Address:

3951 W FRANKLIN ST
BELLBROOK, OH
45305-1834

Practice Phone: 937-848-6601
Practice Fax: 937-848-6101

1417941378 — DR. GEORGE W. REED O.D.
Practice Location Address:

3951 W FRANKLIN ST
BELLBROOK, OH
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Practice Phone: 937-848-6601
Practice Fax: 937-848-6101

1588659015 — DR. CRAIG DEAN BOREMAN MD
Practice Location Address:

3810 POLO TRACE CT
BELLBROOK, OH
45305-1889

Practice Phone: 937-768-5597
Practice Fax:

Directions to “CITY OF BELLBROOK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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