Organization
GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, LLC
Active
Other names
Geriatric Healthcare Services, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY BRUNS (OWNER)
(859) 372-0711
Entity
Organization
Contact information
Practice address
2408 HILL AVE, MIDDLETOWN, OH 45044-4732
(513) 569-6780
Mailing address
PO BOX 427, FLORENCE, KY 41022-0427
(513) 569-6780
(859) 372-0065
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2877785
—
OH
01
—
DN8827
RR MEDICARE
OH
Enumeration date
12/13/2007
Last updated
08/26/2013
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