Healthcare Provider Details

I. General information

NPI: 1134515000
Provider Name (Legal Business Name): BRETT ALAN SCHIFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 COLUMBIA AVE
MUNSTER IN
46321-4008
US

IV. Provider business mailing address

730 45TH ST
MUNSTER IN
46321-2818
US

V. Phone/Fax

Practice location:
  • Phone: 219-924-3300
  • Fax: 219-922-5424
Mailing address:
  • Phone: 219-924-3300
  • Fax: 219-922-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number036-155654
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number01095150A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: