MEDICARE: BRETT A. OSBORN DO

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	207T00000X	Neurological Surgery Physician	OS8838	FL
2	207T00000X	Neurological Surgery Physician	2348	WV

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	7446981	OTHER	WV	CIGNA
3	000000287951	OTHER	OH	UNISON
4	613918805	OTHER	WV	BLACK LUNG/FEC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932104049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT A. OSBORN DO

Provider Business Mailing Address
First Line	:	600 HERITAGE DR
Second Line	:	SUITE 105
City	:	JUPITER
State	:	FL
Zip	:	33458-3000
Country	:	US
Telephone Number	:	561-935-9233
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HERITAGE DR
Second Line	:	SUITE 105
City	:	JUPITER
State	:	FL
Zip	:	33458-3000
Country	:	US
Telephone Number	:	561-935-9233
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/09/2015

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Directions to “ BRETT A. OSBORN DO” Practice Location

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