Provider Demographics
NPI:1174627657
Name:JOHN E. MURPHY, III
Entity Type:Organization
Organization Name:JOHN E. MURPHY, III
Other - Org Name:BELLBROOK FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:937-848-4121
Mailing Address - Street 1:6438 WILMINGTON PIKE
Mailing Address - Street 2:SUITE110
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-7010
Mailing Address - Country:US
Mailing Address - Phone:937-848-4121
Mailing Address - Fax:937-848-5965
Practice Address - Street 1:6438 WILMINGTON PIKE
Practice Address - Street 2:SUITE110
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-7010
Practice Address - Country:US
Practice Address - Phone:937-848-4121
Practice Address - Fax:937-848-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2516450Medicaid
OH2516450Medicaid