Healthcare Provider Details

I. General information

NPI: 1639759939
Provider Name (Legal Business Name): BRYLIE NOELLE SCHAFER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 BENEDICT AVE
NORWALK OH
44857-2374
US

IV. Provider business mailing address

280 BENEDICT AVE
NORWALK OH
44857-2374
US

V. Phone/Fax

Practice location:
  • Phone: 419-663-5000
  • Fax:
Mailing address:
  • Phone: 419-663-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.018639
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: