Organization Active NPI

Thomas S Breza MD PA

  • Specialist
  • Lauderdale by the Sea, FL
National Provider Identifier
1114259165
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0022052 Issued in FL
Legal business name
THOMAS S BREZA MD PA
Practice address
4341 Bougainvilla Dr
Lauderdale by the Sea, FL 33308-5017
Phone
(954) 792-8866
Fax
(954) 337-8180
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mrs. Carolyn Julia Breza
Title
Practice Administrator
Phone
(954) 492-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0022052 FL Primary

Addresses

Primary practice location

4341 Bougainvilla Dr
Lauderdale by the Sea, FL 33308-5017

Mailing address

4341 Bougainvilla Dr
Lauderdale by the Sea, FL 33308-5017
Phone (954) 792-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000029 FL Part B Supplier - Clinic/Group Practice 7113057621 Receives reassigned benefits from 1 practitioner
Practice locations: Lauderdale by the Sea, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0284441Thomas S Breza MD4341 Bougainvilla Drive, Lauderdale by the Sea, FL 33308ComplianceSep 24, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1114259165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 BOUGAINVILLA DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085017",
            "telephone_number": "954-792-8866",
            "fax_number": "954-337-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 BOUGAINVILLA DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085017",
            "telephone_number": "954-792-8866",
            "fax_number": "954-337-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S BREZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BREZA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-492-8866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0022052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.