MEDICARE: DR. BRIAN M KIRSH 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	207RG0100X	Gastroenterology Physician	MD049110	DC
2	207RG0100X	Gastroenterology Physician	D0091413	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1871592493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN M KIRSH MD

Provider Business Mailing Address
First Line	:	3700 PARK EAST DR
Second Line	:	SUITE 100
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4339
Country	:	US
Telephone Number	:	216-593-7700
Fax Number	:	216-593-7190

Provider Business Practice Location Address
First Line	:	2021 K ST NW STE 500
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1003
Country	:	US
Telephone Number	:	240-737-0085
Fax Number	:	202-296-0301

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	08/13/2024

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