Provider Demographics
NPI:1871592493
Name:KIRSH, BRIAN M (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:M
Last Name:KIRSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 PARK EAST DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4339
Mailing Address - Country:US
Mailing Address - Phone:216-593-7700
Mailing Address - Fax:216-593-7190
Practice Address - Street 1:2021 K ST NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:240-737-0085
Practice Address - Fax:202-296-0301
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD049110207RG0100X
MDD0091413207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC091317312Medicaid
MD206385900Medicaid
OH000000127025OtherOHIO OPERATING ENGINEERS
OH2029245Medicaid
OHP2293497OtherOXFORD INSURANCE
OH000000127025OtherONE NATION BENEFIT ADM.
OH000000127025OtherANTHEM BCBS & ANTHEM SR
OHR635829OtherAPEX & SUMMACARE
OHKI0833134Medicare PIN
OH000000127025OtherONE NATION BENEFIT ADM.
OHKI0833138Medicare ID - Type UnspecifiedMEDICARE
OH000000127025OtherOHIO OPERATING ENGINEERS
OHKI0833135Medicare ID - Type UnspecifiedMEDICARE