Bryan Fallis
NPI 1720314966 · Durable Medical Equipment & Medical Supplies · Lakeside Park, KY
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Fallis is a Durable Medical Equipment & Medical Supplies organization in Lakeside Park, KY (NPI 1720314966).
Provider details
- NPI number
- 1720314966
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Bryan Fallis, Owner(859) 331-2440
- License
- 00258 (KY)
Specialties & taxonomies
Suppliers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Progressive Podiatry
- Doing business as
- Progressive Podiatry
Registry dates
- Enumerated
- 2009-10-22
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Frequently asked questions
- What is Bryan Fallis's NPI number?
- Bryan Fallis's National Provider Identifier (NPI) is 1720314966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bryan Fallis?
- Bryan Fallis is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Bryan Fallis located?
- Bryan Fallis's practice location on file with NPPES is 2300 Chamber Center Dr, Lakeside Park, KY 41017-1673.
- What is Bryan Fallis's phone number?
- The practice phone number listed in the NPPES registry for Bryan Fallis is (859) 331-2440.
- Does Bryan Fallis accept Medicare?
- Bryan Fallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bryan Fallis?
- The authorized official listed on Bryan Fallis's NPPES record is Bryan Fallis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bryan Fallis's NPI active?
- Yes — Bryan Fallis's NPI (1720314966) is active in the NPPES registry as of the last update on 2020-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.