Individual
DR. BRIAN JOHN DEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2370 MARKET DR, FLEMING ISLAND, FL 32003
(904) 264-6201
(904) 264-6858
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME135085
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024277400
—
FL
01
—
H6U17
FL BLUE
FL
01
—
JK033Z
MEDICARE
FL
01
—
P02093071
RR MEDICARE
FL
Enumeration date
04/19/2013
Last updated
10/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us