Individual
BARRY BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1636
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35039372
OH
207P00000X
Emergency Medicine Physician
Primary
C39207
CA
207R00000X
Internal Medicine Physician
35039372
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219814
UNISON
OH
01
—
000000553667
ANTHEM
OH
05
—
2703597
—
OH
01
—
378381
WELLCARE MEDICAID
OH
01
—
4127673
AETNA
OH
01
—
745780
BUCKEYE MEDICAID
OH
01
—
P00382869
RAILROAD MEDICARE
OH
Enumeration date
09/28/2006
Last updated
05/12/2026
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