MEDICARE: BRIAN E COLEMAN 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	207X00000X	Orthopaedic Surgery Physician	01040221A	IN
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	01040221A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	234270A	OTHER	IN	MEDICARE INDIVDUAL PROVID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000386686	OTHER	IN	ANTHEM BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366442618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN E COLEMAN MD

Provider Business Mailing Address
First Line	:	4800 LINTON BLVD
Second Line	:	BUILDING A -201
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6584
Country	:	US
Telephone Number	:	561-496-6622
Fax Number	:	561-496-3835

Provider Business Practice Location Address
First Line	:	4800 LINTON BLVD
Second Line	:	BUILDING A -201
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6584
Country	:	US
Telephone Number	:	561-496-6622
Fax Number	:	561-496-3835

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	09/03/2014

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Directions to “ BRIAN E COLEMAN MD” Practice Location

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