Individual
BRENDAN W BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5319 HOAG DR STE 210, SHEFFIELD VILLAGE, OH 44035-1495
(419) 483-2403
(419) 483-8418
Mailing address
5319 HOAG DR STE 210, SHEFFIELD VILLAGE, OH 44035-1495
(440) 925-5378
(440) 925-5379
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35081179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04236
PARAMOUNT
OH
01
—
11211352
CAQH
OH
05
—
2330356
—
OH
01
—
249289
ANTHEM INS
OH
01
—
7926405
AETNA INS
OH
01
—
P00059998
RAILROAD MEDICARE
OH
Enumeration date
02/06/2006
Last updated
01/23/2023
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