Active NPI
Bruce Graham
- Emergency Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 012541
- Practice address
- 18101 Lorain Avenue Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612 - Phone
- (216) 476-7312
- NPI assigned
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 012541 | OH | Primary |
Addresses
Primary practice location
18101 Lorain Avenue Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Mailing address
18101 Lorain Avenue Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Cleveland Clinic
- Fairview Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012541 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cleveland Clinic Health Services Professional Association, Inc | Current | Accepting new patients | |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Union Physician Services, LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
#4
Cleveland, OH 44195
Phone (216) 444-3046
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753
2935 Lincoln Way NW
Massillon, OH 44647
Phone (330) 236-2285
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Practice Physician
- Cleveland, OH
- NPI 1770082471
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Wauseon, OH
- NPI 1679806301
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Emergency Medicine
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1487380770
-
- Emergency Medicine Physician
- Coshocton, OH
- NPI 1508301623
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Emergency Medicine Physician
- Coshocton, OH
- NPI 1346714904
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1962820944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 LORAIN AVENUE CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVENUE CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "012541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.