Brandon Basri Selcuk

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

921 Coral Club Dr
Coral Springs, FL 33071-5600

Phone

(954) 699-5493

NPI assigned

Jun 22, 2022

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1508597360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CORAL CLUB DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715600",
            "telephone_number": "954-699-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CORAL CLUB DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715600",
            "telephone_number": "954-699-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELCUK",
        "first_name": "BRANDON",
        "middle_name": "BASRI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Segelnick, D.M.D.
• Maikel Segui, DDS
• Vicki M Seid, OTR
• Melissa Seidenberg
• Wiliette Sejour-Thelismon, LCSW
• Samantha Selig
• Kimberly Seliger, PA
• Jacob Seligsohn, MD
• Jaclyn Selwyn
• Arlene Semeco, M.S, R.D., LD/N

• Student in an Organized Health Care Education/Training Program in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.