BRIAN GENE NUDELMAN DO
NPI 1922701580
Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL

Active since March 23, 2023PECOS Enrolled
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028(954) 265-4463 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian Gene Nudelman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN GENE NUDELMAN DO (NPI 1922701580) is an individual student in an organized health care education/training program in Pembroke Pines, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922701580
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN GENE NUDELMANCredential: DO
Location Address703 N FLAMINGO RDPembroke Pines, FL 33028-1006
Mailing Address703 N Flamingo RdPembroke Pines, FL 33028-1006 · (954) 265-4463
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
NPI 1922701580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

703 N FLAMINGO RD, Pembroke Pines, FL 33028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian Gene Nudelman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine (Pediatric Emergency Medicine)
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Nurse Practitioner (Adult Health)
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922701580, enumerated as an "individual" on March 23, 2023.

The provider is located at 703 N FLAMINGO RD PEMBROKE PINES, FL 33028 and the phone number is (954) 265-4463.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.