MEDICARE: DR. ASHLEY RENEE BRANT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	DO034573	DC
2	207VC0300X	Complex Family Planning Physician	34.013421	OH

General Provider Information

NPI Number	:	1043579436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY RENEE BRANT D.O.

Provider Business Mailing Address
First Line	:	5900 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103
Country	:	US
Telephone Number	:	216-839-3100
Fax Number	:	216-839-3189

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE DEPT OF
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-3017
Country	:	US
Telephone Number	:	800-223-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2012
Last Update Date	:	04/10/2024

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