Michelle Y Bruzzo MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME78106 Issued in FL

Legal business name

MICHELLE Y BRUZZO MD PA

Practice address

1905 Clint Moore Rd
Suite 302
Boca Raton, FL 33496-2658

Phone

(561) 988-5387

Fax

(561) 988-5388

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Y Bruzzo, M.D.NPI 1912073222

Title

President

Phone

(561) 477-4910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Y Bruzzo, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1912073222
  Medicare reassignment NPD Authorized official
• Erica Sophia Kravit, ARNP-C

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1962758458
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1013192392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21191 VIA VENTURA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332231",
            "telephone_number": "561-477-4910",
            "fax_number": "561-620-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-988-5387",
            "fax_number": "561-988-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE Y BRUZZO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BRUZZO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-477-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Michel
• Madeline Michel, APRN
• Michele E. Willey D.O. P.a.
• Michele J. Moraes, MD PA (Boca Derm)
• Michelle Mankoff, Inc
• Margot B Michelman, M.A. C.C.C. SLP
• Kirstan Iyanna Mickens
• Microsurgery Inc.
• Mid Florida Anesthesia Associates, Inc. (Resolute Pain Solutions)
• Mid-Florida Anesthesia Associates (Resolute Pain Solutions)

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.