Individual provider Active NPI

Brian Keith Adams, M.D.

  • Emergency Medicine Physician
  • Massillon, OH
National Provider Identifier
1376505974
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35069282 Issued in OH
Practice address
2021 Wales Ave NW
Massillon, OH 44646-2393
Phone
(330) 834-3149
NPI assigned
Apr 6, 2006
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35069282 OH Primary

Addresses

Primary practice location

2021 Wales Ave NW
Massillon, OH 44646-2393

Mailing address

13460 Byron Blvd
Middleburg Heights, OH 44130-7109
Phone (440) 239-0762

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
I20050202000003 OH Practitioner - Emergency Medicine 8628029204 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069282OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 22, 2004 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Sep 23, 2014 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
Physicians Emergency Services Current Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Sep 23, 2014 Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

850 Columbia Rd
Westlake, OH 44145
Phone (440) 808-4000

Organizations & group practices 6

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

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": "1730937600000",
    "number": "1376505974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 BYRON BLVD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441307109",
            "telephone_number": "440-239-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462393",
            "telephone_number": "330-834-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35069282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.