Provider Demographics
NPI:1487662508
Name:REIMER, BRIAN DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DAVID
Last Name:REIMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5908
Mailing Address - Country:US
Mailing Address - Phone:561-967-6655
Mailing Address - Fax:561-967-0214
Practice Address - Street 1:3200 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5800
Practice Address - Country:US
Practice Address - Phone:561-967-6655
Practice Address - Fax:561-967-0214
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380133100Medicaid
FL380133100Medicaid
FLT88877Medicare UPIN