Individual
BRYAN D LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 CLAGUE RD STE 110B, WESTLAKE, OH 44145-1582
(440) 250-5366
Mailing address
960 CLAGUE RD, WESTLAKE, OH 44145-1582
(440) 250-5366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35062747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
01
—
080167222
RR MEDICARE INDIVIDUAL
—
01
—
107559
KAISER
—
01
—
10795128
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
CA4511
RR MEDICARE GROUP
—
Enumeration date
03/07/2006
Last updated
01/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us