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NPI Code Detail

MEDICARE: BUCKEYE BRACE

MEDICARE: BUCKEYE BRACE
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063478584
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKEYE BRACE
Provider Business Mailing Address
First Line : 5491 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2325
Country : US
Telephone Number : 937-436-1348
Fax Number : 937-436-7399
Provider Business Practice Location Address
First Line : 5491 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2325
Country : US
Telephone Number : 937-436-1348
Fax Number : 937-436-7399
Authorized Official
Title or Position : OWNER
Name : MR. RICHARD DUNLAP
Credential :
Telephone Number : 937-436-1348
Provider Enumeration Date : 04/24/2006
Last Update Date : 08/22/2020

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Directions to “BUCKEYE BRACE ” Practice Location

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