Provider Demographics
NPI:1538102397
Name:BREGMAN, ARTHUR J (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:BREGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 MADRUGA AVENUE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3019
Mailing Address - Country:US
Mailing Address - Phone:305-740-3340
Mailing Address - Fax:305-740-8103
Practice Address - Street 1:1550 MADRUGA AVE STE 406
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3019
Practice Address - Country:US
Practice Address - Phone:305-740-3340
Practice Address - Fax:305-740-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME294732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043559700Medicaid
FL043559700Medicaid
FL92916Medicare ID - Type Unspecified