=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558491969
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRESSLER & SCHAEFFER INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2007
-----------------------------------------------------
Last Update Date | 07/27/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 99 N BRICE RD STE 120
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43213-6517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-868-1180
-----------------------------------------------------
Fax | 614-868-9996
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 99 N BRICE RD STE 120
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43213-6517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-868-1180
-----------------------------------------------------
Fax | 614-868-9996
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MICHAEL RANDOLPH BRESSLER
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 614-868-1180
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number | 1558491969
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 5666407
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------