Individual provider Active NPI

Brooke Anna Goldman

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1033801915
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627
Phone
(561) 694-7776
Fax
(561) 694-3099
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 694-3099

Other practice location 1

4560 Lantana Rd Ste 100
Lake Worth, FL 33463-6998
Phone (561) 967-4400

Other names 1

  • Brooke Anna Johnson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001266 FL Practitioner - Physician Assistant 8729442454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince Nov 5, 2024 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA CurrentSince Nov 5, 2024 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Aug 1, 2023 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients

Locations

4560 Lantana Rd
Ste 100
Lake Worth, FL 33463
Phone (561) 797-3422

4215 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410

900 Village Square Xing
Ste 170
Palm Beach Gardens, FL 33410

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

1050 SE Monterey Rd
Ste 400
Stuart, FL 34994

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

Interoperability endpoints

  • Direct secure messaging: bjohnson20108@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1033801915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-3099",
            "fax_number": "561-694-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 Lantana Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334636998",
            "country_code": "US",
            "telephone_number": "561-967-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BROOKE",
        "middle_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "JOHNSON",
            "middle_name": "ANNA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.