Provider Demographics
NPI:1437119823
Name:RICHMAN, BRETT ALAN (RPT)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:ALAN
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 FAIRWAY DR
Mailing Address - Street 2:SUITE #27
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3777
Mailing Address - Country:US
Mailing Address - Phone:561-775-7775
Mailing Address - Fax:561-775-7807
Practice Address - Street 1:7100 FAIRWAY DR
Practice Address - Street 2:#27
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3777
Practice Address - Country:US
Practice Address - Phone:561-775-7775
Practice Address - Fax:561-775-7807
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9631174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY915MOtherBCBS
Y6786BMedicare PIN