Individual
H. BRENT BAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
4160 LITTLE YORK RD, STE. 10, DAYTON, OH 45414-5800
(937) 415-9100
(937) 415-9191
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856640
—
OH
01
—
200020515
RAILROAD MEDICARE
OH
01
—
P00657290
RR MEDICARE
OH
Enumeration date
08/10/2005
Last updated
12/13/2011
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