IAN CHRISTIAN BRANDON BIDEGARAY DO NPI 1912649666

NPI Information

  • NPI: 1912649666
  • Provider Name: IAN CHRISTIAN BRANDON BIDEGARAY, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15955 SW 96TH ST STE 200
    MIAMI, FL
    ZIP 33196
  • Phone: (786) 467-3140

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NPI Details

Ian Christian Brandon Bidegaray, DO is a student in an organized health care education training program in Miami, FL. The provider is 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. Ian Christian Brandon Bidegaray, DO NPI is 1912649666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15955 SW 96TH ST STE 200
MIAMI, FL
ZIP 33196-272
Phone: (786) 467-3140

The NPI 1912649666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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