Provider Demographics
NPI:1942462056
Name:SHERMAN, BRIAN DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DOUGLAS
Last Name:SHERMAN
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 1:306 E 96TH ST
Mailing Address - Street 2:12E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3839
Mailing Address - Country:US
Mailing Address - Phone:805-636-8968
Mailing Address - Fax:
Practice Address - Street 1:306 E 96TH ST
Practice Address - Street 2:12E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3839
Practice Address - Country:US
Practice Address - Phone:805-636-8968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105041208M00000X, 207R00000X, 207RC0200X
NY255185207RH0002X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine