Organization Active NPI

Mori Bean and Brooks Inc

Doing business as Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1093782070
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MORI BEAN AND BROOKS INC
Doing business as
Coastal Vein Vascular Institute
Practice address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone
(904) 236-5884
NPI assigned
Mar 8, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Karen Marie Vaughn
Title
Ao
Phone
(629) 317-1465

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X
Neuroradiology Physician 2085N0700X
Nuclear Radiology Physician 2085N0904X
Diagnostic Radiology Physician 2085R0202X FL Primary
Vascular & Interventional Radiology Physician 2085R0204X
Diagnostic Ultrasound Physician 2085U0001X
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

PO Box 85497
Chicago, IL 60689-5497

Other identifiers 2

IdentifierTypeStateIssuer
CK0014OtherGARAILROAD MEDICARE
061242100MedicaidFL

Other names 1

  • Coastal Vein Vascular Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, AZ, CO, TX, AL, MI, NC, CA, PA, GA, RI, NV, DC, TN, OR, GU, KY, SC, MT, OH, MS, WI, NE, LA, IL, MD, NY, MN, VA, OK, MO, DE, ID, ME, IA, WA, KS, NH, MA, CT, NJ, IN, UT, NM, PR, WV, AK48 enrollments

Enrollment records 48

Enrollment IDStateProvider typePAC IDDetails
O20040714001317 FL Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1,168 practitioners
O20141013000603 HI Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 9 practitioners
Practice locations: Honolulu, HI; Lahaina, HI; Kapaa, HI; Kailua, HI; Captain Cook, HI
O20180213003165 AZ Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 30 practitioners
Practice locations: Scottsdale, AZ; Sedona, AZ; Paradise Valley, AZ; Tempe, AZ; Tucson, AZ; Chandler, AZ; Flagstaff, AZ; Gilbert, AZ…
O20190711001859 CO Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 26 practitioners
Practice locations: Steamboat Springs, CO; Snowmass, CO; Boulder, CO; Palmer Lake, CO; Longmont, CO; Denver, CO; Colorado Springs, CO; Carbondale, CO…
O20190717002243 TX Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 91 practitioners
O20190729002602 AL Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 13 practitioners
Practice locations: Vestavia, AL; Trussville, AL; Theodore, AL; Pelham, AL; Orange Beach, AL; Montgomery, AL; Madison, AL; Huntsville, AL…
O20190730000895 MI Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 17 practitioners
Practice locations: Marquette, MI; Portage, MI; Midland, MI; Novi, MI; Saint Joseph, MI; Temperance, MI; Troy, MI; West Bloomfield, MI…
O20190917004315 NC Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 28 practitioners
Practice locations: Greensboro, NC; Huntersville, NC; Lenoir, NC; Lumberton, NC; Norwood, NC; Pfafftown, NC; Pittsboro, NC; Raleigh, NC…
O20191111002152 CA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 69 practitioners
O20200226001916 PA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 51 practitioners
O20200306002073 GA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 44 practitioners
Practice locations: Columbus, GA; Cumming, GA; Duluth, GA; Evans, GA; Lagrange, GA; Lake Park, GA; Marietta, GA; McDonough, GA…
O20200506002121 RI Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI; Hope, RI
O20200506003030 NV Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 15 practitioners
Practice locations: Henderson, NV; Stateline, NV; Reno, NV; Las Vegas, NV
O20200511000102 DC Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 14 practitioners
Practice locations: Washington, DC; Vienna, VA; Silver Spring, MD; Reston, VA; Mitchellville, MD; MC Lean, VA; Laurel, MD; Falls Church, VA…
O20200511003424 TN Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 11 practitioners
Practice locations: Beech Bluff, TN; Ooltewah, TN; Nashville, TN; Memphis, TN; Knoxville, TN; Hendersonville, TN; Germantown, TN; Franklin, TN…
O20200519000806 OR Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 9 practitioners
Practice locations: McMinnville, OR; Salem, OR; Portland, OR; Klamath Falls, OR; Happy Valley, OR; Bend, OR; Ashland, OR
O20200519001020 GU Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Hagatna, GU
O20200521003033 KY Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 7 practitioners
Practice locations: Ashland, KY; Georgetown, KY; Louisville, KY; Nicholasville, KY; Shelbyville, KY; Villa Hills, KY
O20200522002661 SC Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 11 practitioners
Practice locations: Williamston, SC; Summerville, SC; Hilton Head Island, SC; Elgin, SC; Charleston, SC; Blythewood, SC; Fort Mill, SC
O20200609000704 MT Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT
O20200610001970 OH Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 28 practitioners
Practice locations: Hudson, OH; Maineville, OH; Montgomery, OH; Ottawa Hills, OH; Powell, OH; Put-in-Bay, OH; Solon, OH; Strongsville, OH…
O20200625000274 MS Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, MS; Meridian, MS; Jackson, MS; Diberville, MS
O20200908002330 WI Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 7 practitioners
Practice locations: Appleton, WI; Madison, WI; Milwaukee, WI; Muskego, WI; Oconomowoc, WI; Rhinelander, WI; Woodruff, WI
O20200921000939 NE Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE; Omaha, NE
O20201203000372 LA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 9 practitioners
Practice locations: Church Point, LA; Shreveport, LA; Pineville, LA; New Orleans, LA; Metairie, LA
O20210302002374 IL Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 20 practitioners
Practice locations: Barrington, IL; South Barrington, IL; Oak Brook, IL; O Fallon, IL; Modesto, IL; Machesney Park, IL; Lincolnwood, IL; Lake Zurich, IL…
O20210505000069 MD Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 8 practitioners
Practice locations: Frederick, MD; Ashton, MD; Pikesville, MD; Mitchellville, MD; Marriottsville, MD; Laurel, MD; Fulton, MD; Ellicott City, MD…
O20210608003323 NY Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 38 practitioners
Practice locations: New York, NY; Orchard Park, NY; Poughkeepsie, NY; Rockville Centre, NY; Rye Brook, NY; Sag Harbor, NY; Saratoga Springs, NY; Staten Island, NY…
O20210624000499 MN Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 4 practitioners
Practice locations: Edina, MN; Maple Grove, MN; Minneapolis, MN; Rochester, MN
O20210628002584 VA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 19 practitioners
Practice locations: Midlothian, VA; Winchester, VA; Williamsburg, VA; Virginia Beach, VA; Spotsylvania, VA; Norfolk, VA; Moseley, VA; MC Lean, VA…
O20210929000731 OK Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK
O20211011000288 MO Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 6 practitioners
Practice locations: Amity, MO; Barnett, MO; Columbia, MO; Kansas City, MO
O20211012000512 DE Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 3 practitioners
Practice locations: Wilmington, DE; Rehoboth Beach, DE
O20220303000736 ID Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 3 practitioners
Practice locations: Boise, ID; Idaho Falls, ID; Meridian, ID
O20220309000945 ME Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 2 practitioners
Practice locations: Cape Elizabeth, ME; Falmouth, ME; South Portland, ME
O20220408000998 IA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Dubuque, IA; Iowa City, IA
O20220418000872 WA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 17 practitioners
Practice locations: Olympia, WA; Seattle, WA; Shoreline, WA; Yakima, WA; Mercer Island, WA; Anacortes, WA; Arlington, WA; Bellingham, WA…
O20220420002318 KS Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 4 practitioners
Practice locations: Augusta, KS; Concordia, KS; Leawood, KS; Manhattan, KS
O20220421001227 NH Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 4 practitioners
Practice locations: Madbury, NH; Amherst, NH; Raymond, NH; Manchester, NH
O20220421002160 MA Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 17 practitioners
Practice locations: Newton, MA; Norfolk, MA; Norton, MA; Pittsfield, MA; Plymouth, MA; Wayland, MA; Wellesley, MA; Westwood, MA…
O20220509000584 CT Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 13 practitioners
Practice locations: West Hartford, CT; Vernon, CT; Stamford, CT; Farmington, CT; South Glastonbury, CT; Riverside, CT; New Haven, CT; Greenwich, CT…
O20220610000249 NJ Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 15 practitioners
Practice locations: West Windsor, NJ; Scotch Plains, NJ; Haddonfield, NJ; Robbinsville, NJ; Randolph, NJ; Pennington, NJ; Monroe TWP, NJ; Medford, NJ…
O20220818001222 IN Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 4 practitioners
Practice locations: Carmel, IN; Crown Point, IN; Fort Wayne, IN; Granger, IN; Valparaiso, IN
O20230220002180 UT Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 8 practitioners
Practice locations: Washington, UT; Spanish Fork, UT; Park City, UT; Hideout, UT; Heber City, UT; Draper, UT
O20230320001431 NM Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 6 practitioners
Practice locations: Los Alamos, NM; Santa Fe, NM; Albuquerque, NM
O20231024004175 PR Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 2 practitioners
Practice locations: Carolina, PR; San Juan, PR
O20231102000700 WV Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington, WV; Hurricane, WV
O20250923003801 AK Part B Supplier - Clinic/Group Practice 8820077878 Receives reassigned benefits from 1 practitioner
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 77)

2801 NE 213th St
Ste 8001
Aventura, FL 33180

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1905 Clint Moore Rd
#119
Boca Raton, FL 33496

698 Meadows Rd
Boca Raton, FL 33486

699 Meadows Rd
Boca Raton, FL 33486

10921 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 548-3639

4890 N State Road 7
Coconut Creek, FL 33073
Phone (954) 379-3528

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

3313 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 420-0100

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

515 E Las Olas Blvd
Ste 200
Ft Lauderdale, FL 33301

201 SE 2nd Ave
Gainesville, FL 32601

36810 US Hwy 27 N
Haines City, FL 33844
Phone (407) 530-2000

131 S Citrus Ave
Inverness, FL 34452
Phone (352) 344-6930

1625 University Blvd S
Jacksonville, FL 32216

2330 Hendricks Ave
Jacksonville, FL 32207

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

5276 Blanding Blvd
Jacksonville, FL 32210

5773 Normandy Blvd
Jacksonville, FL 32205
Phone (303) 286-3666

7741 Point Meadows Dr
#104106
Jacksonville, FL 32256

8100 Merrill Rd
Jacksonville, FL 32277
Phone (904) 929-6540

836 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-5288

8375 Dix Ellis Trl
Jacksonville, FL 32256

8377 Dix Ellis TRL Ste 201
Jacksonville, FL 32256

Practitioners & affiliated clinicians

Practitioners 1,657

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,657

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1093782070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85497",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895497",
            "fax_number": "904-346-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "904-236-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORI BEAN AND BROOKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK0014",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061242100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vein Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.