Individual provider Active NPI

Bruce Theodore Cohn, M.D.

  • Specialist
  • Beachwood, OH
National Provider Identifier
1669540530
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35050663 Issued in OH
Practice address
23250 Mercantile Rd
Suite 100
Beachwood, OH 44122-5928
Phone
(216) 831-7855
Fax
(216) 831-5320
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35050663 OH Primary

Addresses

Primary practice location

23250 Mercantile Rd
Suite 100
Beachwood, OH 44122-5928

Mailing address

23250 Mercantile Rd
Suite 100
Beachwood, OH 44122-5928
Phone (216) 831-7855

Other identifiers 1

IdentifierTypeStateIssuer
0747115MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drcohn@bclortho.medentdirect.com Direct

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
I20100917000018 OH Practitioner - Orthopedic Surgery 7214924968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brahms, Cohn and Leb, IncGroup PAC ID 1153302328, 5 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

23250 Mercantile Rd
Suite 100
Beachwood, OH 44122-5928
Phone (216) 831-7855

27100 Cedar Rd
Beachwood, OH 44122-1109

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
84.33
Improvement activities
40
Cost
64.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050663OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brahms, Cohn & Leb, Inc Specialist CurrentSince Aug 1, 1988 Accepting new patients
Provision Imaging of Northeast Ohio PastSince Jan 22, 2004 Accepting new patients

Locations

23250 Mercantile Rd
Ste 100
Beachwood, OH 44122
Phone (216) 825-0203

23250 Mercantile Rd
Ste 100A
Beachwood, OH 44122
Phone (216) 825-0203

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1669540530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-831-7855",
            "fax_number": "216-831-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-831-7855",
            "fax_number": "216-831-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "BRUCE",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747115",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drcohn@bclortho.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23250 Mercantile Rd",
            "address_2": "SUITE 100",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.