Organization Active NPI

Brahms, Cohn & Leb, Inc

  • Specialist
  • Beachwood, OH
National Provider Identifier
1972698660
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
408696 Issued in OH
Legal business name
BRAHMS, COHN & LEB, INC
Practice address
23250 Mercantile Rd
Suite 101
Beachwood, OH 44122-5928
Phone
(216) 831-7855
Fax
(216) 831-5320
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Bruce Theodore Cohn, MDNPI 1669540530
Title
Owner
Phone
(216) 831-7855

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 408696 OH Primary

Addresses

Primary practice location

23250 Mercantile Rd
Suite 101
Beachwood, OH 44122-5928

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
0403085MedicaidOH
0747115MedicaidOH
1972698660OtherOHMEDICARE NSC

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040525001259 OH Part B Supplier - Clinic/Group Practice 1153302328 Receives reassigned benefits from 12 practitioners
Practice locations: Beachwood, OH
O20100930063929 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153302328 Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

23250 Mercantile Rd
Ste 101
Beachwood, OH 44122
Phone (216) 831-7855

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

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

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1972698660",
    "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 101",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-831-7855",
            "fax_number": "216-831-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAHMS, COHN & LEB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-831-7855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "408696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403085",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747115",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "1972698660",
            "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 101",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.