Individual provider Active NPI

Brian R Gastman, MD

  • Plastic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1114989761
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35.096183 Issued in OH
Practice address
9500 Euclid Avenue, A60
Cleveland Clinic
Cleveland, OH 44195
Phone
(216) 444-6900
Fax
(216) 444-9419
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0063379 MD
Plastic Surgery Physician 208200000X D0063379 MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X D0063379 MD
Plastic Surgery Physician 208200000X 35.096183 OH Primary

Addresses

Primary practice location

9500 Euclid Avenue, A60
Cleveland Clinic
Cleveland, OH 44195

Mailing address

9500 Euclid Avenue, A60
Cleveland Clinic
Cleveland, OH 44195
Phone (216) 444-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000016 OH Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 9931132859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0063379MDMDOtolaryngology Physician
35.096183OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Apr 4, 2025 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 8, 2010 Accepting new patients
Partners Physician Group CurrentSince Apr 4, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

1 Akron General Ave
Ste 372
Akron, OH 44307
Phone (330) 344-7708

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#A60
Cleveland, OH 44195
Phone (216) 444-5415

Interoperability endpoints

  • Direct secure messaging: bgastman94400@direct.ccf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1114989761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE, A60",
            "address_2": "CLEVELAND CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-6900",
            "fax_number": "216-444-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE, A60",
            "address_2": "CLEVELAND CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-6900",
            "fax_number": "216-444-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTMAN",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0063379",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0063379",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MD",
            "license": "D0063379",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.096183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.