Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Brian Conley II, PA-C

Individual provider Vascular Surgery Physician · NPI 1245811165

Mr. Robert Brian Conley II, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2020, 6 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
6
Licensed in
GA, OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115-8029 — (770) 924-9656
  • 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 — (937) 438-8640
  • 2350 Miami Valley Dr Ste 300, Centerville, OH 45459-4778 — (937) 438-8640
  • 122 Wyoming St, Dayton, OH 45409-2731 — (937) 223-4464

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006870RX (OH)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 50.006870 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 12341 (GA)

Record details

NPI number1245811165
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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