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Bryan Fallis

Durable Medical Equipment & Medical Supplies in Lakeside Park, KY · enumerated 2009 · authorized official Bryan Fallis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720314966

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Registry record

Entity type Organization (Type 2)
Legal business name Bryan Fallis
Other name <Unavail>
Practice address 2300 Chamber Center Dr, Suite 100, Lakeside Park, KY, 41017
Phone (859) 331-2440
Fax (859) 331-2449
Enumeration date Oct 22, 2009
Last updated in NPPES Jan 29, 2020

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 00258 (KY) Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Bryan Fallis
Title Owner
Phone (859) 331-2440

Other identifiers

Identifier Type State Issuer
7100096290 Medicaid KY -
80000151 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bryan Fallis?
The NPI for Bryan Fallis is 1720314966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bryan Fallis?
NPPES lists Bryan Fallis (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-29.