Individual provider Active NPI

Brian H Cohen, D.D.S..,M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dearborn, MI
National Provider Identifier
1497728380
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
4301069256 Issued in MI
Practice address
2120 Monroe St
Dearborn, MI 48124-2943
Phone
(313) 562-5800
Fax
(313) 562-6418
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 4301069256 MI Primary

Addresses

Primary practice location

2120 Monroe St
Dearborn, MI 48124-2943

Mailing address

2120 Monroe St
Dearborn, MI 48124-2943
Phone (313) 562-5800

Other identifiers 4

IdentifierTypeStateIssuer
C7487OtherMIMCARE'S PROVIDER NUMBER
129802OtherMICARE CHOICES PROVIDER NO.
0N14730OtherMIHAP HMO PROVIDER NUMBER
000000002038OtherMICAPE PIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069256MIMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497728380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242943",
            "telephone_number": "313-562-5800",
            "fax_number": "313-562-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242943",
            "telephone_number": "313-562-5800",
            "fax_number": "313-562-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S..,M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "4301069256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE'S PROVIDER NUMBER",
            "identifier": "C7487",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES PROVIDER NO.",
            "identifier": "129802",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP HMO PROVIDER NUMBER",
            "identifier": "0N14730",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE PIN NUMBER",
            "identifier": "000000002038",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.