Basic Information
| Provider Information | |||||||||
| NPI: | 1285899039 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FINCHAM | ||||||||
| FirstName: | BRYCE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4343 ALL SEASONS DR | ||||||||
| Address2: | STE. 140 | ||||||||
| City: | HILLIARD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430261961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145441401 | ||||||||
| FaxNumber: | 6145441403 | ||||||||
| Practice Location | |||||||||
| Address1: | 5400 FRANTZ RD | ||||||||
| Address2: | STE. 250 | ||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430164144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145446366 | ||||||||
| FaxNumber: | 6145446350 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2008 | ||||||||
| LastUpdateDate: | 01/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 5101018880 | MI | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0005X | DO.000294 | LA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 390200000X | 58002652 | OH | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207XX0005X | 34.011014 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | P01273308 | 01 | OH | RAILROAD MEDICARE | OTHER | 0089477 | 05 | OH | MEDICAID |