Provider Demographics
NPI:1386277986
Name:FREEMAN, BRANDAN
Entity type:Individual
Prefix:MR
First Name:BRANDAN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-3228
Mailing Address - Country:US
Mailing Address - Phone:561-810-6201
Mailing Address - Fax:561-810-6200
Practice Address - Street 1:1109 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-3228
Practice Address - Country:US
Practice Address - Phone:855-740-1181
Practice Address - Fax:561-810-6200
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health