Provider Demographics
NPI:1982604443
Name:CADIGAN, BRIAN ELLIOT (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ELLIOT
Last Name:CADIGAN
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 1:15320 AMBERLY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1647
Mailing Address - Country:US
Mailing Address - Phone:813-977-0733
Mailing Address - Fax:813-971-2230
Practice Address - Street 1:3043 W CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3151
Practice Address - Country:US
Practice Address - Phone:813-876-9961
Practice Address - Fax:813-877-9680
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49403207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
12262OtherBCBS
3005127OtherUHC
2534243OtherAETNA
FLK2680Medicare ID - Type Unspecified
3005127OtherUHC