Provider Demographics
NPI:1932189743
Name:ZIEGLER, BRIAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 EXECUTIVE LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3595
Mailing Address - Country:US
Mailing Address - Phone:321-639-2551
Mailing Address - Fax:321-504-6260
Practice Address - Street 1:830 EXECUTIVE LN
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3595
Practice Address - Country:US
Practice Address - Phone:321-639-2551
Practice Address - Fax:321-504-6260
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073105207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255934000Medicaid
FL5015655OtherAETNA PPO
FL162589800OtherUS DEPARTMENT OF LABOR
FL41848OtherBLUE CROSS BLUE SHIELD
FL2292325OtherAETNA HMO
FL7996743002OtherCIGNA
FL162589800OtherUS DEPARTMENT OF LABOR
FL41848OtherBLUE CROSS BLUE SHIELD
FL7996743002OtherCIGNA