Provider Demographics
NPI:1467446039
Name:COHEN, MAX WILLIAM (MD)
Entity type:Individual
Prefix:MR
First Name:MAX
Middle Name:WILLIAM
Last Name:COHEN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 604345
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-4345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2105 BRAXTON LN STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2862
Practice Address - Country:US
Practice Address - Phone:336-333-6306
Practice Address - Fax:336-333-6309
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200507207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC195939OtherMEDCOST
NC0900574OtherUNITED HEALTHCARE
NC89131GVOtherCAROLINA ACCESS
NCP00409296OtherRAILROAD MEDICARE
NC131GVOtherBCBS OF NC
NC800313OtherPARTNERS
NC89131GVMedicaid
NC131GVOtherBCBS OF NC
NCH67358Medicare UPIN
NC89131GVMedicaid