Provider Demographics
NPI:1861428666
Name:LERMAN, BRIAN J (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:LERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 THOROUGHBRED LN
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1213
Mailing Address - Country:US
Mailing Address - Phone:410-356-4746
Mailing Address - Fax:
Practice Address - Street 1:90 PAINTERS MILL RD
Practice Address - Street 2:SUITE 131
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3630
Practice Address - Country:US
Practice Address - Phone:410-581-9966
Practice Address - Fax:410-581-9969
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01494111N00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52611801OtherBCBS-MD
MDR4980001OtherBCBS-DC
MDU388061Medicare UPIN
MDK394GT38Medicare ID - Type UnspecifiedMEDICARE