Provider Demographics
NPI:1528092681
Name:ANGSTEN, BRIAN ERIC (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:ERIC
Last Name:ANGSTEN
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 1:2914 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243
Mailing Address - Country:US
Mailing Address - Phone:941-351-9940
Mailing Address - Fax:941-351-9942
Practice Address - Street 1:2914 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243
Practice Address - Country:US
Practice Address - Phone:941-351-9940
Practice Address - Fax:941-351-9942
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78845207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
17289OtherBCBS
3340499OtherAETNA
H75549Medicare UPIN
FL17289Medicare ID - Type Unspecified