Provider Demographics
NPI:1336340579
Name:COHEN, BRIAN LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LOUIS
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 VICTORIA RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4812
Mailing Address - Country:US
Mailing Address - Phone:828-254-8883
Mailing Address - Fax:828-253-2024
Practice Address - Street 1:100 VICTORIA RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4812
Practice Address - Country:US
Practice Address - Phone:828-254-8883
Practice Address - Fax:828-253-2024
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00605208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909676Medicaid
P00693007OtherRR MEDICARE
NC2022249Medicare PIN