Provider Demographics
NPI:1477519973
Name:NEUROLOGICAL & SLEEP DISORDERS INC
Entity Type:Organization
Organization Name:NEUROLOGICAL & SLEEP DISORDERS INC
Other - Org Name:SLEEP MANAGEMENT INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CORSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-721-1986
Mailing Address - Street 1:5240 E GALBRAITH RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2879
Mailing Address - Country:US
Mailing Address - Phone:513-721-7533
Mailing Address - Fax:
Practice Address - Street 1:5240 E GALBRAITH RD STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2879
Practice Address - Country:US
Practice Address - Phone:513-721-7533
Practice Address - Fax:513-721-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046569207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200264490Medicaid
IN200264490AMedicaid
KY65940249Medicaid
OH0217723Medicaid
OHNSDIMedicaid
IN234260Medicare PIN
OH9277411Medicare PIN
IN200264490AMedicaid
OHCN4356Medicare PIN