Individual provider · Type 1 NPI

Bryan Jon Ellis, DO

Surgery Physician · Montgomery, OH

NPI number 1487745964 Active

Practice location

10506 Montgomery Rd Ste 304
Montgomery, OH 45242-4400

Fax (513) 984-2692

Mailing address

1270 Solutions Center, PO Box 771270
Chicago, IL 60677-1002

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X34005984 (OH)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1487745964

Bryan Jon Ellis, DO's National Provider Identifier is 1487745964, issued on Sep 27, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Montgomery, OH. The record was last updated on Aug 21, 2023.