PROGRESSIVE PODIATRY
NPI 1720314966
Durable Medical Equipment & Medical Supplies in Lakeside Park, KY

Active since October 22, 2009
2300 CHAMBER CENTER DR, SUITE 100, LAKESIDE PARK, KY 41017(859) 331-2440(859) 331-2449 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2020, Aug 31, 2016 (2 updates tracked since 2016).

About Progressive Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROGRESSIVE PODIATRY (NPI 1720314966) is a healthcare organization registered as a durable medical equipment & medical supplies in Lakeside Park, Kentucky and active in the NPI registry since October 2009. The organization lists Bryan V Fallis, Owner, as its authorized official.

NPPES Registry Identity

NPI1720314966
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBRYAN FALLIS
Location Address2300 CHAMBER CENTER DR, SUITE 100Lakeside Park, KY 41017-1673
Mailing AddressPo Box 636389Cincinnati, OH 45263-0001 · (859) 557-4260 · Fax (513) 557-3347
Fax(859) 331-2449
Organization SubpartNo
Authorized OfficialBryan V FallisOwner · (859) 331-2440
Enumeration DateOctober 22, 2009
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
NPI 1720314966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedPodiatristTaxonomy 213E00000X · License 00258 (KY)
2300 CHAMBER CENTER DR, Lakeside Park, KY 41017

Other Names 1

Doing Business AsProgressive Podiatry

Other Identifiers 2

Medicaid80000151KY
Medicaid7100096290KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Internal Medicine (Allergy & Immunology)
2300 CHAMBER CENTER DR, SUITE 102
LAKESIDE PARK, KY 41017
Family Medicine
2300 CHAMBER CENTER DR, SUITE 100
FORT MITCHELL, KY 41017
Family Medicine
2300 CHAMBER CENTER DR
FORT MITCHELL, KY 41017
Physician Assistant
2300 CHAMBER CENTER DR, SUITE 102
FORT MITCHELL, KY 41017
Nurse Practitioner
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720314966, enumerated as an "organization" on October 22, 2009.

The provider is located at 2300 CHAMBER CENTER DR SUITE 100 LAKESIDE PARK, KY 41017 and the phone number is (859) 331-2440.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.