Bethea, Brian Thomas

Bethea, Brian Thomas is an sole proprietor health care provider with primary practice located at 4205 W Atlantic Ave Bldg B Suite 201, Delray Beach FL 33445-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bethea, Brian Thomas can be contacted via phone (561) 638-9140.

Contact Information

Primary practice address
4205 W Atlantic Ave Bldg B Suite 201 Delray Beach FL 33445-3901
Phone: (561) 638-9140
Fax: (561) 498-0320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D57533 Maryland
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME119970 Florida

Profile Details

NPI number 1417002908
LBN Legal business name Bethea, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Oct 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417002908 NPPES
Florida MEDICAID 012044000

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