Provider Demographics
NPI:1528020880
Name:SHERMAN, BRIAN G (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:G
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1401 CENTERVILLE RD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4647
Mailing Address - Country:US
Mailing Address - Phone:850-671-5558
Mailing Address - Fax:850-219-9741
Practice Address - Street 1:1401 CENTERVILLE RD
Practice Address - Street 2:SUITE 402
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4647
Practice Address - Country:US
Practice Address - Phone:850-671-5558
Practice Address - Fax:850-219-9741
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00020279207W00000X
RIMD09000207W00000X
MA76456207W00000X
FLME70608207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31674OtherBCBS OF FL
FL593526766OtherCAPITAL HEALTH PLAN
FL250421900Medicaid
FL593526766OtherCAPITAL HEALTH PLAN
FL250421900Medicaid