MEDICARE: DR. BRAD HERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	59591	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000000000	OTHER	FL	SELF

General Provider Information

NPI Number	:	1194825497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRAD HERMAN MD

Provider Business Mailing Address
First Line	:	6141 SUNSET DR
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-508-7035
Fax Number	:	305-508-7035

Provider Business Practice Location Address
First Line	:	6141 SUNSET DR
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-508-7035
Fax Number	:	305-595-6491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	04/15/2020

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Directions to “ DR. BRAD HERMAN MD” Practice Location

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