Individual provider Active NPI

Bradley Leone Shoss, MD

  • Ophthalmology Physician
  • Titusville, FL
National Provider Identifier
1013203272
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME127081 Issued in FL
Practice address
730 S Washington Ave
Titusville, FL 32780-4232
Phone
(321) 267-2020
Fax
(321) 267-4165
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME127081 FL Primary
Ophthalmology Physician 207W00000X 2015007985 MO

Addresses

Primary practice location

730 S Washington Ave
Titusville, FL 32780-4232

Mailing address

730 S Washington Ave
Titusville, FL 32780-4232
Phone (321) 267-2020

Other identifiers 1

IdentifierTypeStateIssuer
018716300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002328 FL Practitioner - Ophthalmology 1557673803 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Kutryb MD PAGroup PAC ID 7012016579, 4 clinicians

Practice addresses (Care Compare)

730 S Washington Ave
Titusville, FL 32780-4232
Phone (321) 267-2020

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
98.94
Promoting interoperability
100
Improvement activities
40
Cost
38.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127081FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic Ambulatory Surgery Center, Inc. CurrentSince Jun 6, 2017 Accepting new patients
Florida Eye Clinic P a Ophthalmology CurrentSince Feb 21, 2023 Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

2460 E Highway 50
Clermont, FL 34711
Phone (352) 708-7080

2225 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-2908

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332

2917 Edgewater Dr
Orlando, FL 32804
Phone (321) 423-2030

7975 Lake Underhill Rd
Ste 140
Orlando, FL 32822
Phone (407) 281-0866

Networks

  • FL HMO
  • FL PPO
  • FL HMO D-SNP
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: bshoss@epcf.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013203272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804232",
            "telephone_number": "321-267-2020",
            "fax_number": "321-267-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804232",
            "telephone_number": "321-267-2020",
            "fax_number": "321-267-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSS",
        "first_name": "BRADLEY",
        "middle_name": "LEONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME127081",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2015007985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018716300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.