Provider Demographics
NPI:1952342032
Name:ADKINS, BRYAN E (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:E
Last Name:ADKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 AUBURN AVE
Mailing Address - Street 2:SUITE 335
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-585-4595
Mailing Address - Fax:513-585-4594
Practice Address - Street 1:2123 AUBURN AVE
Practice Address - Street 2:SUITE 335
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-4595
Practice Address - Fax:513-585-4594
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.068492207Q00000X
OH35068492208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0273047Medicaid
OH0273047Medicaid
OH4070152Medicare PIN
OH080113487Medicare PIN