Provider Demographics
NPI:1013985290
Name:BEHRMAN, DOUGLAS F (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:F
Last Name:BEHRMAN
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 1:8146 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2324
Mailing Address - Country:US
Mailing Address - Phone:513-588-3623
Mailing Address - Fax:513-728-4064
Practice Address - Street 1:7091 W ARACOMA DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-2327
Practice Address - Country:US
Practice Address - Phone:513-351-2989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060102A207R00000X
NY196524207R00000X
OH35-070894207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2025525Medicaid
OHH443710Medicare PIN
F93541Medicare UPIN
F93541Medicare UPIN
IN172580UMedicare ID - Type Unspecified