Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD60187982 | WA |
N | 207Q00000X | Family Doctor | ME47952 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD60187982 | WA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME47952 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | MD60187982 | WA |
NPI | 1306834544 |
---|---|
Provider Name | Dr. David B Brecher |
First Address | Clearwater, FL 33757-8744 |
Second Address | Tacoma, WA 98493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 23/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64653 | (02) | |
P01709657 | RAILROAD MEDICARE PROVIDER NUMBER (01) | FL |