Brent Wilkins, PA-C
Individual provider Active NPI Physician Assistant · Daytona Beach, FL
NPI 1003449117 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1003449117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9112968 (FL)
- Practice address
- 1865 Lpga Blvd
Daytona Beach, FL 32117-7108 - Phone
- (386) 255-4596
- Fax
- (386) 258-3561
- NPI assigned
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Clinic of Daytona Beach PA
Adventist Health System Sunbelt, Inc.
Practice addresses (Care Compare)
1175 Dunlawton Ave
Suite 1
Port Orange, FL 32127-4741
Phone (386) 255-4596
1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320
1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055
1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300
1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074
17 Old Kings Rd N
Suite K
Palm Coast, FL 32137-8283
Phone (386) 255-4596
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
1890 Lpga Blvd
Suite 240
Daytona Beach, FL 32117-7131
Phone (386) 255-4596
2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
Hospital & facility affiliations
- Adventhealth Daytona Beach
- Adventhealth Orlando
- Adventhealth New Smyrna Beach
- Adventhealth Palm Coast Parkway
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200228002127 | FL | Practitioner - Physician Assistant | 3779910898 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/Sunbelt, Inc. | Physician Assistant | Current |
Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current |
Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353
Networks
- Freedom Health HMO Network
Interoperability endpoints
- brent.wilkins.1@10735.direct.athenahealth.com
- brent.wilkins.2@1579.direct.athenahealth.com
- bwilkins71042@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112968 | FL | Yes |
Addresses
Primary practice location
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Mailing address
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
Other practice location 1
1175 Dunlawton Ave Ste 1
Port Orange, FL 32127-4741
Phone (386) 255-4596
Other practice location 2
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (407) 538-7193
Other practice location 3
1890 Lpga Blvd
Daytona Beach, FL 32117-7130
Phone (386) 255-4596
Other practice location 4
1165 Dunlawton Ave Ste 102
Port Orange, FL 32127-2924
Phone (386) 255-4596
Other practice location 5
17 Old Kings Rd N Ste K
Palm Coast, FL 32137-8283
Phone (386) 255-4596
Other practice location 6
1075 Mason Ave
Daytona Beach, FL 32117-4611
Phone (386) 255-4596
Other providers in Daytona Beach, FL
- Amy Christine Wilder
- Virginia Smith Wiley
- Michael Wilk
- Gregory Scott Wilkerson
- Caren Elizabeth Wilkie
- Brittany Nicole Wilkins
- Gwendolyn Patrice Willaims
- William P Friedenberg PHD
- Sierra Williams-Barnhart
- Brianna Chana Williams
All providers in Daytona Beach, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.