Organization · Type 2 NPI

Isd Renal Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bridgeport, OH

NPI number 1205396744 Active

Practice location

703 Main St
Bridgeport, OH 43912-1315

Call (740) 633-1903 Map

Fax (740) 633-8831

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1205396744
Entity type: Organization (Type 2)
Issued: Mar 21, 2019
Last updated: Aug 7, 2025
Status: Active

Other names

<unavail>
National Road Dialysis · doing business as
National Road Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205396744

Isd Renal Inc's National Provider Identifier is 1205396744, issued on Mar 21, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bridgeport, OH. The record was last updated on Aug 7, 2025.