Healthcare Provider Details

I. General information

NPI: 1578846002
Provider Name (Legal Business Name): DAVID PETER BRIGATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEALTH TRANSFORMATION BUILDING 1601 TRINITY STREET
AUSTIN TX
78712
US

IV. Provider business mailing address

1701 TRINITY ST STOP Z0800
AUSTIN TX
78712-1875
US

V. Phone/Fax

Practice location:
  • Phone: 833-882-2737
  • Fax: 512-495-5431
Mailing address:
  • Phone: 833-882-2737
  • Fax: 512-495-5431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberR6527
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: