Individual provider Active NPI

Thomas Larry Brown Sr., M.D.

  • Diagnostic Radiology Physician
  • Gulf Breeze, FL
National Provider Identifier
1053383786
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
230429 Issued in NY
Practice address
200 Northcliff Dr
Gulf Breeze, FL 32561-4440
Phone
(850) 932-9404
Fax
(850) 932-5707
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 00007599 AL
Diagnostic Radiology Physician 2085R0202X ME23293 FL
Diagnostic Radiology Physician 2085R0202X 0101-021130 VA
Diagnostic Radiology Physician 2085R0202X 230429 NY Primary

Addresses

Primary practice location

200 Northcliff Dr
Gulf Breeze, FL 32561-4440

Mailing address

200 Northcliff Dr
Gulf Breeze, FL 32561-4440
Phone (850) 932-9404

Other identifiers 1

IdentifierTypeStateIssuer
069260300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110309000759 FL Practitioner - Diagnostic Radiology 8426030420 Reassigns benefits to 11 organizations
I20150522000849 NY Practitioner - Diagnostic Radiology 8426030420 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Partners of Florida LLC 17 clinicians
Simonmed Imaging Florida LLC 302 clinicians
Diagnostic Centers of America, LLP 108 clinicians
Essen Medical Associates, PC 264 clinicians
Smi Imaging LLC 380 clinicians
Elite Imaging LLC 126 clinicians
Comanche County Hospital Authority Southwest Radiology 17 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

4171 Roosevelt Blvd
Jacksonville, FL 32210-1837
Phone (904) 389-7474

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474

775 N Alafaya TRL
Simonmed Imaging Waterford Lakes
Orlando, FL 32828-7047
Phone (321) 235-8700

7806 Lake Underhill Rd
Suite 101
Orlando, FL 32822-8232
Phone (407) 608-6800

802 Bayshore Dr
Pensacola, FL 32507-3404
Phone (480) 306-6949

Hospital & facility affiliations

  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Lakeside Medical Center Hospital, Belle Glade, FL, CCN 100130
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26086NCMDPharmacist
00007599ALMDNuclear Medicine Physician
0101-021130VAMDDiagnostic Radiology Physician

Practice roles (33 of 39)

OrganizationSpecialtyStatusNew patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 14, 2022 Accepting new patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Apr 11, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 14, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 14, 2022 Accepting new patients
Yadkin River Radiology PA Diagnostic Radiology CurrentSince Dec 9, 2023 Accepting new patients
Essen Medical Associates, PC Diagnostic Radiology CurrentSince Jul 14, 2022 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Sports Imaging Centers, LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Apr 11, 2024 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Jul 1, 2021 Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Feb 8, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Argen Enterprises of Highlands Inc Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Argen Enterprises of Hendry Inc Past Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Highlands Diagnostic Imaging Center, Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

2500 S 8th Ave
Ste 103
Yuma, AZ 85364
Phone (866) 614-8555

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

4171 Roosevelt Blvd
Jacksonville, FL 32210
Phone (904) 359-8900

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

1110 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 629-7474

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

Networks

  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H3359

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 7

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1053383786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHCLIFF DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614440",
            "telephone_number": "850-932-9404",
            "fax_number": "850-932-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHCLIFF DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614440",
            "telephone_number": "850-932-9404",
            "fax_number": "850-932-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THOMAS",
        "middle_name": "LARRY",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "AL",
            "license": "00007599",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME23293",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101-021130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "230429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069260300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.