Provider Demographics
NPI:1396929808
Name:FRENCHMAN, BRIAN S (DPM)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:S
Last Name:FRENCHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 JOG ROAD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2164
Mailing Address - Country:US
Mailing Address - Phone:561-498-9066
Mailing Address - Fax:561-498-9068
Practice Address - Street 1:15300 JOG ROAD
Practice Address - Street 2:SUITE #110
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2164
Practice Address - Country:US
Practice Address - Phone:561-498-9066
Practice Address - Fax:561-498-9068
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2926213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65728OtherBLUE CROSS BLUE SHIELD
FL340213400Medicaid
FL340213400Medicaid
FL65728OtherBLUE CROSS BLUE SHIELD