Provider Demographics
NPI:1629071717
Name:LEVE, BRIAN E (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:E
Last Name:LEVE
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 1:4705 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9586
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 N EWING ST
Practice Address - Street 2:STE 206
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3378
Practice Address - Country:US
Practice Address - Phone:740-689-6319
Practice Address - Fax:740-689-6320
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082937L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2441361Medicaid
OHH51714Medicare UPIN
OH4124903Medicare PIN