Active NPI
Brillana Jeanmarie
- Phlebology Physician
- Pompano Beach, FL
National Provider Identifier
1093545394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- MLO0190
- Practice address
- 349 SW 2ND PL Apt 1
Pompano Beach, FL 33060-6982 - Phone
- (954) 954-9545
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | MLO0190 | FL | Primary |
Addresses
Primary practice location
349 SW 2ND PL Apt 1
Pompano Beach, FL 33060-6982
Mailing address
349 SW 2ND PL Apt 1
Pompano Beach, FL 33060-6982
Phone (954) 954-9545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MLO0190 | FL | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1093545394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 SW 2ND PL APT 1",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606982",
"telephone_number": "954-954-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 SW 2ND PL APT 1",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606982",
"telephone_number": "954-954-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANMARIE",
"first_name": "BRILLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "FL",
"license": "MLO0190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.