Provider Demographics
NPI:1366449621
Name:GERLINGER, BROOKS B I (MD)
Entity Type:Individual
Prefix:DR
First Name:BROOKS
Middle Name:B
Last Name:GERLINGER
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10525 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4401
Mailing Address - Country:US
Mailing Address - Phone:513-745-9800
Mailing Address - Fax:513-985-2905
Practice Address - Street 1:10525 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4401
Practice Address - Country:US
Practice Address - Phone:513-745-9800
Practice Address - Fax:513-985-2905
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074305207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2094853Medicaid
OHGE0858661Medicare ID - Type UnspecifiedCARDIOLOGY CENTER
OH2094853Medicaid
OHGE0858665Medicare PIN
OHF35878Medicare UPIN