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General NPI Number Information
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NPI Number | 1902040983
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Entity Type | Organization
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Legal Business Name | BREGMAN PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 1550 MADRUGA AVE STE 201
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City | CORAL GABLES
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State | FL
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Zip | 33146-3036
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Country | US
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Telephone | 305-740-3340
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Fax | 305-740-8103
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Provider Business Mailing Address
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Address Line | 1550 MADRUGA AVE STE 406
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City | CORAL GABLES
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State | FL
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Zip | 33146-3019
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Country | US
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Telephone | 305-740-3340
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Fax | 305-740-8103
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. BRANDON K BAKER
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Credential | DO
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Telephone | 305-740-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME29473
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License Number State | FL
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