MEDICARE: BRIAN R. CAIN, M.D. AND ASSOCIATES

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	261QP2300X	Primary Care Clinic/Center	35061748	OH

General Provider Information

NPI Number	:	1306294947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN R. CAIN, M.D. AND ASSOCIATES

Provider Business Mailing Address
First Line	:	500 N PROSPECT AVE
Second Line	:
City	:	HARTVILLE
State	:	OH
Zip	:	44632-9318
Country	:	US
Telephone Number	:	330-877-3008
Fax Number	:	330-877-3032

Provider Business Practice Location Address
First Line	:	754 S CLEVELAND AVE STE 300
Second Line	:
City	:	MOGADORE
State	:	OH
Zip	:	44260-2210
Country	:	US
Telephone Number	:	330-877-3008
Fax Number	:	330-877-3032

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN R. CAIN
Credential	:	M.D.
Telephone Number	:	330-351-2873

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	09/17/2020

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