MEDICARE: PAUL BRAMMER MD

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	207Q00000X	Family Medicine Physician	35.052489	OH

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

General Provider Information

NPI Number	:	1881633386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL BRAMMER MD

Provider Business Mailing Address
First Line	:	2350 MIAMI VALLEY DR
Second Line	:	SUITE 530
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4778
Country	:	US
Telephone Number	:	937-435-3546
Fax Number	:	937-435-3568

Provider Business Practice Location Address
First Line	:	2350 MIAMI VALLEY DRIVE
Second Line	:	SUITE 530
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2786
Country	:	US
Telephone Number	:	937-435-3546
Fax Number	:	937-435-3568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	11/01/2018

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Directions to “ PAUL BRAMMER MD” Practice Location

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