Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Brundidge

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275927212

Dominique Brundidge is an Anesthesiology in Cleveland, Ohio. Graduated from Philadelphia College of Osteopathic Medicine in 2015, 11 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195
Phone: (216) 444-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 34.012437 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275927212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2015
Last updated in NPPESJune 8, 2018
Mailing address9500 Euclid Ave, Cleveland, OH 44195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Cleveland