Provider Demographics
NPI:1588627905
Name:BRAMSON, MARSHA (MD)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:BRAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 READING RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1330
Mailing Address - Country:US
Mailing Address - Phone:513-573-1444
Mailing Address - Fax:513-573-1538
Practice Address - Street 1:770 READING RD
Practice Address - Street 2:SUITE A
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1330
Practice Address - Country:US
Practice Address - Phone:513-573-1444
Practice Address - Fax:513-573-1538
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35042905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0471190Medicaid
OHP00884830OtherMEDICARE RR
A80070Medicare UPIN
OH4173283Medicare PIN