# BRAD E. OREN, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225382674
- **Authorized official:** DR. BRAD E OREN M.D. (PRESIDENT)
- **Authorized official phone:** (561) 433-0098

## Contact information

- **Practice address:** 8198 S JOG RD, SUITE 102, BOYNTON BEACH, FL 33472-6900
- **Practice address phone:** (561) 433-0098
- **Practice address fax:** (561) 433-4775
- **Mailing address:** 8198 S JOG RD, SUITE 102A, BOYNTON BEACH, FL 33472-2900
- **Mailing address phone:** (561) 433-0098
- **Mailing address fax:** (561) 433-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 01/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GS635A | MEDICARE PTAN | FL |