Provider Demographics
NPI:1376900852
Name:STEINKOPF, BRYAN LEE (MS)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:LEE
Last Name:STEINKOPF
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WHITEHALL DR
Mailing Address - Street 2:APT 205
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6962
Mailing Address - Country:US
Mailing Address - Phone:971-645-0998
Mailing Address - Fax:
Practice Address - Street 1:1701 WHITEHALL DR
Practice Address - Street 2:APT 205
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-6962
Practice Address - Country:US
Practice Address - Phone:971-645-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program