Provider Demographics
NPI:1336251875
Name:SILVER, BRIAN MARC (DC,PA)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MARC
Last Name:SILVER
Suffix:
Gender:M
Credentials:DC,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13501 SW 136TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8319
Mailing Address - Country:US
Mailing Address - Phone:305-251-5655
Mailing Address - Fax:305-251-1142
Practice Address - Street 1:13501 SW 136TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8319
Practice Address - Country:US
Practice Address - Phone:305-251-5655
Practice Address - Fax:305-251-1142
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38036900Medicaid
FLEH909AMedicare Oscar/Certification
FLU17117Medicare UPIN
FLEH909AMedicare PIN