Individual provider Active NPI

Bianca T Vega, PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1124174511
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104015 Issued in FL
Practice address
1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031
Phone
(954) 458-1199
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104015 FL Primary

Addresses

Primary practice location

1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031

Mailing address

1500 N University Dr Ste 101
Coral Springs, FL 33071-6071
Phone (954) 458-1199

Other practice location 1

2151 45th St Ste 204
West Palm Beach, FL 33407-2009
Phone (954) 458-1199

Other practice location 2

2820 NE 214th St Ste 701
Aventura, FL 33180-1269
Phone (954) 458-1199

Other practice location 3

7050 NW 4th St Ste 206
Plantation, FL 33317-2247
Phone (954) 458-1199

Other practice location 4

2900 N Military Trl Ste 201
Boca Raton, FL 33431-6308
Phone (954) 458-1199

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
I20150331002396 FL Practitioner - Physician Assistant 3577880517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Relief SolutionsGroup PAC ID 9234542754, 14 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1345 NE 4TH Ave
Fort Lauderdale, FL 33304-1031
Phone (954) 458-1199

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

Merit-based Incentive Payment System (MIPS)

Final score
62.6 of 100Reported as group
Quality
88.52
Promoting interoperability
0
Improvement activities
40
Cost
60.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Solutions CurrentSince Feb 24, 2024 Accepting new patients
Pain Relief Solutions CurrentSince Feb 24, 2024 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients

Locations

2820 NE 214th St
Ste 701
Aventura, FL 33180

1345 NE 4th Ave
Ft Lauderdale, FL 33304

1500 N University Dr
Ste 101
Pompano Beach, FL 33071
Phone 9544581199101

2151 45th St
Ste 204
West Palm Beach, FL 33407
Phone (561) 863-7800

Interoperability endpoints

  • Direct secure messaging: bianca.vega.p1@direct.advancedreliefmso.nextgenshare.com

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1124174511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716071",
            "telephone_number": "954-458-1199",
            "fax_number": "877-349-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041031",
            "telephone_number": "954-458-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 45th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072009",
            "country_code": "US",
            "telephone_number": "954-458-1199",
            "fax_number": "877-204-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 NE 214th St Ste 701",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801269",
            "country_code": "US",
            "telephone_number": "954-458-1199",
            "fax_number": "877-348-0325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7050 NW 4th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172247",
            "country_code": "US",
            "telephone_number": "954-458-1199",
            "fax_number": "877-207-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Military Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316308",
            "country_code": "US",
            "telephone_number": "954-458-1199",
            "fax_number": "877-859-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "BIANCA",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.