Provider Demographics
NPI:1447271705
Name:CINCY SLEEP AND NEUROLOGY CENTERS PLLC
Entity type:Organization
Organization Name:CINCY SLEEP AND NEUROLOGY CENTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BASHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIJAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-377-7860
Mailing Address - Street 1:3645 STONECREEK BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1469
Mailing Address - Country:US
Mailing Address - Phone:513-377-7860
Mailing Address - Fax:513-923-2301
Practice Address - Street 1:3645 STONECREEK BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1469
Practice Address - Country:US
Practice Address - Phone:513-377-7860
Practice Address - Fax:513-923-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350817702084N0400X, 2084S0012X
KY363192084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65940363Medicaid
OHDD1713OtherRR MEDICARE
OH9338061Medicare PIN
KY65940363Medicaid