Provider Demographics
NPI:1972698660
Name:BRAHMS, COHN & LEB, INC
Entity type:Organization
Organization Name:BRAHMS, COHN & LEB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-831-7855
Mailing Address - Street 1:23250 MERCANTILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5928
Mailing Address - Country:US
Mailing Address - Phone:216-831-7855
Mailing Address - Fax:216-831-5320
Practice Address - Street 1:23250 MERCANTILE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5928
Practice Address - Country:US
Practice Address - Phone:216-831-7855
Practice Address - Fax:216-831-5320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH408696174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0403085Medicaid
OH0747115Medicaid
OH1972698660OtherMEDICARE NSC
OH0339410001Medicare NSC
OH0934056Medicaid
OHLE0740841Medicare ID - Type UnspecifiedROBERT B. LEB, M.D.
OHF38411Medicare UPIN
OH0747115Medicaid
OH9128702Medicare ID - Type UnspecifiedDRS. BRAHMS, COHN & LEB,