Healthcare Provider Details

I. General information

NPI: 1831183003
Provider Name (Legal Business Name): GINGE BRIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2057 N UNIVERSITY DR
SUNRISE FL
33322-3936
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 954-271-0716
  • Fax: 954-708-1348
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME75666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: