Individual provider Active NPI

Anique M Bryan, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1114980190
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69309 Issued in FL
Practice address
3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone
(305) 571-0620
Fax
(305) 576-8099
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69309 FL Primary

Addresses

Primary practice location

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800

Mailing address

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone (305) 571-0620

Other identifiers 1

IdentifierTypeStateIssuer
259492700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANIQUE.BRYAN@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000479 FL Practitioner - Family Practice 6204850084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone (305) 571-0620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida International Cardiology Consultants Inc CurrentSince Sep 6, 2024 Accepting new patients

Locations

21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012

3801 Biscayne Blvd
Ste 300
Miami, FL 33137
Phone (305) 673-0601

9299 SW 152nd St
Ste 102
Palmetto Bay, FL 33157
Phone (305) 378-4624

Interoperability endpoints

  • Direct secure messaging: anique.bryan@hca4.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1114980190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ANIQUE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259492700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANIQUE.BRYAN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3801 Biscayne Blvd",
            "address_2": "SUITE 300",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331379800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.