NPIMap

Organization Active NPI

Andrew Brobbey MD Inc

  • Family Medicine Physician
  • Euclid, OH
National Provider Identifier
1831214774
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-083527B Issued in OH
Legal business name
ANDREW BROBBEY MD INC
Practice address
27900 Euclid Ave
Euclid, OH 44132-3539
Phone
(216) 731-7110
Fax
(216) 731-7130
NPI assigned
Mar 20, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Andrew K. Brobbey, M.D.NPI 1679554877
Title
Owner
Phone
(216) 731-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-083527B OH Primary

Addresses

Primary practice location

27900 Euclid Ave
Euclid, OH 44132-3539

Mailing address

PO Box 22958
Cleveland, OH 44122-0958
Phone (216) 731-7110

Other identifiers 5

IdentifierTypeStateIssuer
077098726026OtherOHCARESOURCE
3001334MedicaidOH
DP2284OtherOHRAILROAD MEDICARE
000000359486OtherOHANTHEM BLUE CROSS
077908726005OtherOHMEDICAL MUTUAL OF OHIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070516000209 OH Part B Supplier - Clinic/Group Practice 1951408566 Receives reassigned benefits from 15 practitioners

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1025194Andrew Brobbey MD Inc27900 Euclid Ave, Euclid, OH 44132Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

14932 Euclid Ave
East Cleveland, OH 44112
Phone (216) 272-4585

25701 N Lakeland Blvd
Ste 301
Euclid, OH 44132
Phone (216) 761-9617

36001 Euclid Ave
#B16
Willoughby, OH 44094
Phone (440) 942-4844

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1831214774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-731-7110",
            "fax_number": "216-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27900 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323539",
            "telephone_number": "216-731-7110",
            "fax_number": "216-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW BROBBEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BROBBEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-731-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-083527B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "077098726026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001334",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2284",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000359486",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "077908726005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.