Individual provider Active NPI

Brian Eliot Cohen, M.D.

  • Obstetrics & Gynecology Physician
  • Lemoyne, PA
National Provider Identifier
1962472837
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD049611L Issued in PA
Practice address
1 Lemoyne SQ
Suite 201
Lemoyne, PA 17043-1230
Phone
(717) 737-4511
Fax
(717) 909-6659
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD049611L PA Primary

Addresses

Primary practice location

1 Lemoyne SQ
Suite 201
Lemoyne, PA 17043-1230

Mailing address

1 Lemoyne SQ
Suite 201
Lemoyne, PA 17043-1230
Phone (717) 737-4511

Other identifiers 4

IdentifierTypeStateIssuer
4536085OtherPAAETNA PPO PROVIDER NUMBER
50026616OtherPACAPITAL BLUE CROSS
739731OtherPAHIGHMARK BLUE SHIELD
483672OtherPAAETNA HMO PROVIDER 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
MD049611LPAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1962472837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEMOYNE SQ",
            "address_2": "SUITE 201",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431230",
            "telephone_number": "717-737-4511",
            "fax_number": "717-909-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEMOYNE SQ",
            "address_2": "SUITE 201",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431230",
            "telephone_number": "717-737-4511",
            "fax_number": "717-909-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRIAN",
        "middle_name": "ELIOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD049611L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER NUMBER",
            "identifier": "4536085",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50026616",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "739731",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "483672",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.