Brian Ing Pham, is a
Student In An Organized Health Care Education/training Program based in Hollywood, Florida. Brian Ing Pham is licensed to practice in Florida (license number ) and his current practice location is
3501 Johnson St, Hollywood, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 987-2000.
NPI number for Brian Ing Pham is 1972495182 and his current mailing address is 445 N Bridgestone Ave, Saint Johns, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972495182.
Provider's Profile
| Full Name | Brian Ing Pham |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3501 Johnson St, Hollywood, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972495182
- Provider Enumeration Date: 07/21/2025
- Last Update Date: 07/21/2025
Medical Identifiers
Medical identifiers for Brian Ing Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972495182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN9601431 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Ing Pham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brian Ing Pham,
445 N Bridgestone Ave,
Saint Johns, FL 32259-7928
Ph: (904) 402-2323 | Brian Ing Pham,
3501 Johnson St,
Hollywood, FL 33021-5421
Ph: (954) 987-2000 |
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