Bregg, Kenneth J.

Bregg, Kenneth J. is an individual health care provider with primary practice located at 1921 Waldemere St Ste 310 , Sarasota FL 34239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bregg, Kenneth J. can be contacted via phone (941) 917-5400.

Contact Information

Primary practice address
1921 Waldemere St Ste 310 Sarasota FL 34239
Phone: (941) 917-5400
Fax: (941) 917-5420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME62142 Florida

Profile Details

NPI number 1588656904
LBN Legal business name Bregg, Kenneth J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 19th, 2018 - about 8 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 1588656904 NPPES
Florida Other 2780250 BCBS FL PROVIDER #
Florida MEDICAID 373532000 BCBS FL PROVIDER #
Florida Other P00449108 BCBS FL PROVIDER #
Florida Other 1192944 BCBS FL PROVIDER #
Florida Other 202233 BCBS FL PROVIDER #
Florida Other 17793 BCBS FL PROVIDER #
Florida Other 340017280 BCBS FL PROVIDER #
Florida Other 4345646 BCBS FL PROVIDER #

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