MEDICARE: DR. BRUCE W SHERMAN 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
1	207RP1001X	Pulmonary Disease Physician	35054911	OH

General Provider Information

NPI Number	:	1366566267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE W SHERMAN MD

Provider Business Mailing Address
First Line	:	3175 BELVOIR BLVD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-3825
Country	:	US
Telephone Number	:	216-337-4457
Fax Number	:	216-752-5292

Provider Business Practice Location Address
First Line	:	3175 BELVOIR BLVD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-3825
Country	:	US
Telephone Number	:	216-337-4457
Fax Number	:	216-752-5292

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

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	07/08/2007

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