Basic Information
| Provider Information | |||||||||
| NPI: | 1487827531 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOLOMON | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 399 9TH ST N STE 300 | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341025820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396244299 | ||||||||
| FaxNumber: | 2396438856 | ||||||||
| Practice Location | |||||||||
| Address1: | 399 9TH ST N STE 300 | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341025820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396244299 | ||||||||
| FaxNumber: | 2396438856 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2008 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | 261580 | NY | N | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208G00000X | ME131055 | FL | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 019925500 | 05 | FL | MEDICAID | A8MDF | 01 | FL | BCBS | OTHER | IW300Z | 01 | FL | MEDICARE | OTHER |