Individual
BRUCE A. BRUMFIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4244 INDIAN RIPPLE RD, STE 300, DAYTON, OH 45440-3279
(937) 429-3366
(937) 429-0956
Mailing address
4244 INDIAN RIPPLE RD., STE. 300, BEAVERCREEK, OH 45440-7709
(937) 429-0674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35033638B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010664
ANTHEM
OH
01
—
0320013
UHC
OH
01
—
1059
NATIONWIDE
OH
01
—
310964774
TAX ID
—
01
—
4050965
AETNA
OH
01
—
D33638
HUMANA
OH
01
—
P00362836
RAILROAD MEDICARE
OH
Enumeration date
08/20/2006
Last updated
06/08/2017
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