Individual provider Active NPI

Steven R. Brinn, M.D.

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1639164924
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-040823 Issued in OH
Practice address
11258 Lebanon Rd
Cincinnati, OH 45241-2214
Phone
(513) 563-0044
Fax
(513) 563-0061
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-040823 OH Primary

Addresses

Primary practice location

11258 Lebanon Rd
Cincinnati, OH 45241-2214

Mailing address

11258 Lebanon Rd
Cincinnati, OH 45241-2214
Phone (513) 563-0044

Other identifiers 1

IdentifierTypeStateIssuer
0399377MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-040823OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Sharonville Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1639164924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11258 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412214",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412214",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINN",
        "first_name": "STEVEN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-040823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.