Active NPI
Thomas S Breza MD PA
- Specialist
- Lauderdale by the Sea, FL
National Provider Identifier
1114259165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0022052
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0284441 | Thomas S Breza MD | Compliance | Sep 24, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Lauderdale by the Sea, FL
- NPI 1164484812
-
- Physician Assistant
- Lauderdale by the Sea, FL
- NPI 1487472007
-
- MOHS-Micrographic Surgery Physician
- Lauderdale by the Sea, FL
- NPI 1134298011
-
- Medical Physician Assistant
- Hallandale Beach, FL
- NPI 1982154548
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.