OrganizationActive
Bullock Dialysis LLC
NPI 1639715808 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cincinnati, OH
Provider details
- NPI number
- 1639715808
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Davita Inc
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
2290 Ferguson Rd
Cincinnati, OH 45238
Phone: (513) 347-3626
Fax: (513) 347-2680
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2019-11-22
- Last updated
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.