Individual provider Active NPI

Bruce Graham

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1962820944
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
012541 Issued in OH
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

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207002315 OH Practitioner - Emergency Medicine 8224339429 Reassigns benefits to 7 organizations

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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012541OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Emergency Medicine CurrentSince Jan 24, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Nov 1, 2017 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jan 13, 2018 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Jul 19, 2022 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Jan 13, 2018 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 19, 2025 Accepting new patients
Union Physician Services, LLC CurrentSince Aug 25, 2025 Accepting new patients
The Metrohealth System CurrentSince Jan 24, 2017 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.