Provider Demographics
NPI:1497721120
Name:SCHULMAN, BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:SCHULMAN
Suffix:
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:PO BOX 766351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:9880 ANGIES WAY STE 420
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2850
Practice Address - Country:US
Practice Address - Phone:502-394-6200
Practice Address - Fax:502-394-6210
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY093893OtherSIHO - CMA
KY00533019OtherMEDICARE - CMA
KY3508297000OtherPASSPORT ADVANTAGE - CMA
KY000023032SOtherHUMANA - CMA
KY64305261OtherKY MEDICAID - NMA-OBC
KYP00655713OtherRAILROAD MCR - KY
KY000000550153OtherANTHEM - CMA
KY3986184OtherCIGNA - CMA
KY50018826OtherPASSPORT - CMA
KY64305261Medicaid
KYP00655713OtherRAILROAD MCR - KY
KY3986184OtherCIGNA - CMA
KY093893OtherSIHO - CMA