Individual
JOHN D BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 KINGSLEY AVE, SUITE 503, ORANGE PARK, FL 32073-9207
(904) 278-5088
(904) 264-4910
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17275
NE
208600000X
Surgery Physician
Primary
ME66544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020029570
RAILROAD MEDICARE
FL
01
—
239210
AVMED
FL
01
—
25509
BCBS FL
FL
05
—
275828800
—
FL
01
—
4506932
AETNA
FL
05
—
47072366813
—
NE
01
—
9912625
CIGNA
FL
Enumeration date
11/16/2005
Last updated
08/04/2011
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