Individual provider Active NPI

Deidra A. Brown-Brinson, APRN

  • Adult Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1124024203
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN1264352 Issued in FL
Practice address
3401 Pga Blvd Ste 200
West Palm Beach, FL 33410-2824
Phone
(561) 366-4100
Fax
(561) 776-8801
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1264352 FL
Adult Health Nurse Practitioner 363LA2200X APRN1264352 FL Primary

Addresses

Primary practice location

3401 Pga Blvd Ste 200
West Palm Beach, FL 33410-2824

Mailing address

PO Box 102222
Attn: Credentialing Department
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1037 S State Road 7 Ste 303
Wellington, FL 33414-6140
Phone (561) 366-4100

Other identifiers 1

IdentifierTypeStateIssuer
111479200MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000830 FL Practitioner - Nurse Practitioner 7911810247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

3401 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2824
Phone (561) 366-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1264352FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Dec 24, 2013 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Palm Beach Cancer Institute, LLC. PastSince Jan 1, 1990 Accepting new patients
Palm Beach Cancer Institute LLC PastSince Jan 1, 1990 Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

1037 S State Road 7
Ste 303
Wellington, FL 33414

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3401 Pga Blvd
Ste 200
West Palm Beach, FL 33410

1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1124024203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334102824",
            "telephone_number": "561-366-4100",
            "fax_number": "561-776-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 S State Road 7 Ste 303",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146140",
            "country_code": "US",
            "telephone_number": "561-366-4100",
            "fax_number": "866-326-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-BRINSON",
        "first_name": "DEIDRA",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1264352",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN1264352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111479200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.