Individual
BRIAN E COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 LINTON BLVD, BUILDING A -201, DELRAY BEACH, FL 33445-6584
(561) 496-6622
(561) 496-3835
Mailing address
4800 LINTON BLVD, BUILDING A -201, DELRAY BEACH, FL 33445-6584
(561) 496-6622
(561) 496-3835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01040221A
IN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
01040221A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386686
ANTHEM BCBS
IN
05
—
200010680
—
IN
01
—
234270A
MEDICARE INDIVDUAL PROVID
IN
Enumeration date
07/28/2005
Last updated
09/03/2014
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