Individual provider Active NPI

Bradley Feuer, D.O., J.D.

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1063610335
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005328 Issued in FL
Practice address
Troop L Building 9330
Mile Post 94 Florida's Turnpike
Lake Worth, FL 33467
Phone
(850) 296-8161
Fax
(888) 980-5924
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005328 FL Primary
Legal Medicine (M.D./D.O.) Physician 209800000X OS0005328 FL

Addresses

Primary practice location

Troop L Building 9330
Mile Post 94 Florida's Turnpike
Lake Worth, FL 33467

Mailing address

Troop L Building 9330
Mile Post 94 Florida's Turnpike
Lake Worth, FL 33467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy, Juris Doctor

State licenses

LicenseStateTypeSpecialty
OS0005328FLMDLegal Medicine (M.D./D.O.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1063610335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TROOP L BUILDING 9330",
            "address_2": "MILE POST 94 FLORIDA'S TURNPIKE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TROOP L BUILDING 9330",
            "address_2": "MILE POST 94 FLORIDA'S TURNPIKE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "850-296-8161",
            "fax_number": "888-980-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUER",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005328",
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "OS0005328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.