Healthcare Provider Details

I. General information

NPI: 1285899039
Provider Name (Legal Business Name): BRYCE FINCHAM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 FRANTZ RD STE. 250
DUBLIN OH
43016-4144
US

IV. Provider business mailing address

4343 ALL SEASONS DR STE. 140
HILLIARD OH
43026-1961
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-6366
  • Fax: 614-544-6350
Mailing address:
  • Phone: 614-544-1401
  • Fax: 614-544-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5101018880
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberDO.000294
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number58002652
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number34.011014
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: