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NPI Code Detail

MEDICARE: DR. BRIAN C. WELSH MD

MEDICARE: DR. BRIAN C. WELSH MD
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
12084F0202XForensic Psychiatry Physician35-079357OH
22084P0800XPsychiatry Physician35-079357OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205954591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN C. WELSH MD
Provider Business Mailing Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-4128
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Provider Business Practice Location Address
First Line : 3920 LOVERS LN
Second Line :
City : RAVENNA
State : OH
Zip : 44266-4200
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 09/11/2025

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