Individual provider Active NPI

Brenda Perryman, M.D.

  • Internal Medicine Physician
  • Euclid, OH
National Provider Identifier
1467566695
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35047913 Issued in OH
Practice address
25000 Euclid Ave Ste 203
Euclid, OH 44117
Phone
(216) 785-8719
NPI assigned
Aug 17, 2006
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35047913 OH Primary

Addresses

Primary practice location

25000 Euclid Ave Ste 203
Euclid, OH 44117

Mailing address

PO Box 181177
Cleveland, OH 44118-7177
Phone (216) 785-8719

Other practice location 1

15322 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 851-1500

Other practice location 2

15322 Saint Clair Ave
Cleveland, OH 44110-3043
Phone (216) 851-1500

Other identifiers 1

IdentifierTypeStateIssuer
0590409MedicaidOH

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
I20040907000995 OH Practitioner - Internal Medicine 5193791630 Reassigns benefits to 2 organizations
Practice locations: Bucyrus, OH; Cleveland, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ohio Neighborhood Health Services, Inc.Group PAC ID 5799756615, shared by 13 NPIs, 2 clinicians

Practice addresses (Care Compare)

1468 E 55TH St
Cleveland, OH 44103-1307
Phone (216) 881-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35047913OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Feb 17, 2019 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Jun 15, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Bucyrus Community Physicians Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
American Pain & Anesthesia, LLC Past Accepting new patients

Locations

1468 E 55th St
Cleveland, OH 44103
Phone (216) 541-5600

15322 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 491-2318

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: brenda.perrymanmd.p1@direct.neon.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1467566695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181177",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441187177",
            "telephone_number": "216-785-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 203",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44117",
            "telephone_number": "216-785-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15322 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44110",
            "country_code": "US",
            "telephone_number": "216-851-1500",
            "fax_number": "216-851-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15322 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441103043",
            "country_code": "US",
            "telephone_number": "216-851-1500",
            "fax_number": "216-851-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "BRENDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35047913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.