Provider Demographics
NPI:1568818409
Name:BRYK, DARREN JEREMY (MD)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:JEREMY
Last Name:BRYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5258 LINTON BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6529
Mailing Address - Country:US
Mailing Address - Phone:561-495-7570
Mailing Address - Fax:561-496-7074
Practice Address - Street 1:4515 WILES RD STE 201
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3414
Practice Address - Country:US
Practice Address - Phone:954-943-1133
Practice Address - Fax:954-783-6845
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101275089208800000X
FLME158857208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology