Provider Demographics
NPI:1285899039
Name:FINCHAM, BRYCE (DO)
Entity type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:
Last Name:FINCHAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 ALL SEASONS DR
Mailing Address - Street 2:STE. 140
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1961
Mailing Address - Country:US
Mailing Address - Phone:614-544-1401
Mailing Address - Fax:614-544-1403
Practice Address - Street 1:5400 FRANTZ RD
Practice Address - Street 2:STE. 250
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-4144
Practice Address - Country:US
Practice Address - Phone:614-544-6366
Practice Address - Fax:614-544-6350
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018880207X00000X
LADO.000294207XX0005X
OH58002652390200000X
OH34.011014207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP01273308OtherRAILROAD MEDICARE
OH0089477Medicaid
OHH242910Medicare PIN