Colette K Brown-Graham, M.D.
Individual provider Active NPI Gynecology Physician · Loxahatchee, FL
NPI 1043391808 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1043391808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 71561 (FL)
- Practice address
- 12955 Palms West Dr Ste 101
Loxahatchee, FL 33470-9212 - Phone
- (561) 792-0050
- Fax
- (561) 792-0048
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Miami, LM Miller School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Woman Care LLC
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500
12955 Palms W Dr
Suite 101
Loxahatchee, FL 33470-9212
Phone (561) 792-0050
2815 S Seacrest Blvd
Suite 112
Boynton Beach, FL 33435-7531
Phone (561) 737-7733
Hospital & facility affiliations
- Wellington Regional Medical Center
- Good Samaritan Medical Center
- HCA Florida Palms West Hospital
- Boca Raton Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513001043 | FL | Practitioner - Obstetrics/Gynecology | 1557351491 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71561 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Womencare PA | Past | Accepting new patients | |
| Complete Healthcare for Women | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
12955 Palms West Dr
Ste 101
Wellington, FL 33470
Phone (561) 333-5022
1397 Medical Park Blvd
Ste 360
Wellington, FL 33414
Phone (561) 792-0050
Interoperability endpoints
- colette.brown-graham.1@2183.direct.athenahealth.com
- https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 71561 | FL | |
| Gynecology Physician | 207VG0400X | 71561 | FL | Yes |
Addresses
Primary practice location
12955 Palms West Dr Ste 101
Loxahatchee, FL 33470-9212
Mailing address
1397 Medical Park Blvd
Suite 360
Wellington, FL 33414-3188
Phone (561) 792-0050
Other providers in Loxahatchee, FL
- Adriana E Boyd
- Robin Braver
- Rocio Brescia
- Mariliz D. Britton
- Bonnie Borato Brooks
- Beth Ann Brunsman
- Marielle Constance Barcia Buonocore
- Rachael Lea Busch-Feuer
- Howard Mark Busch
- Ellissa Buttrey
All providers in Loxahatchee, FL · Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. 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.