Provider Demographics
NPI:1285690859
Name:NEGIN, BRETT JAMIE (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JAMIE
Last Name:NEGIN
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 1:2844 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1425
Mailing Address - Country:US
Mailing Address - Phone:954-753-4888
Mailing Address - Fax:954-753-4838
Practice Address - Street 1:2844 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1425
Practice Address - Country:US
Practice Address - Phone:954-753-4888
Practice Address - Fax:954-753-4838
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 880322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16577OtherBCBS PROVIDER NUMBER
FL16577ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
I37742Medicare UPIN