MEDICARE: DR. CHRISTOPHER B O'BRIEN M.D.

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	207RI0008X	Hepatology Physician	ME41715	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548225154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER B O'BRIEN M.D.

Provider Business Mailing Address
First Line	:	3100 WESTON RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3602
Country	:	US
Telephone Number	:	954-659-6760
Fax Number	:	954-659-6731

Provider Business Practice Location Address
First Line	:	3100 WESTON RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3602
Country	:	US
Telephone Number	:	954-659-6760
Fax Number	:	954-659-6731

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	06/28/2024

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