Bethea, Brian Thomas
Bethea, Brian Thomas is an sole proprietor health care provider with primary practice located at 4205 W Atlantic Ave Bldg B Suite 201, Delray Beach FL 33445-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bethea, Brian Thomas can be contacted via phone (561) 638-9140.Contact Information
Primary practice address
4205 W Atlantic Ave Bldg B Suite 201
Delray Beach FL 33445-3901
Phone: (561) 638-9140
Fax: (561) 498-0320
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | D57533 | Maryland |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME119970 | Florida |
Profile Details
NPI number | 1417002908 |
---|---|
LBN Legal business name | Bethea, Brian Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Oct 11th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417002908 | NPPES |
Florida | MEDICAID | 012044000 |
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