Individual provider Active NPI

Brandon Lucas Coffey, D.O.

  • Internal Medicine Physician
  • Venice, FL
National Provider Identifier
1134493588
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS16524 Issued in FL
Practice address
12432 Davie CT
Venice, FL 34293-5789
Phone
(423) 215-1485
NPI assigned
Mar 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2651 TN
Internal Medicine Physician 207R00000X 2651 TN
Internal Medicine Physician 207R00000X OS16524 FL Primary

Addresses

Primary practice location

12432 Davie CT
Venice, FL 34293-5789

Mailing address

12432 Davie CT
Venice, FL 34293-5789
Phone (423) 215-1485

Other identifiers 2

IdentifierTypeStateIssuer
M1092OtherFLMEDICARE
105941700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141001001540 TN Practitioner - Internal Medicine 9739309469 Reassigns benefits to 2 organizations
I20200330003663 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 9739309469 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

7070 S Tamiami TRL
Venice, FL 34293-5114
Phone (941) 236-9535

Hospital & facility affiliations

  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2651TNMDRegistered Dietitian
OS16524FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 23, 2015 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 4, 2020 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 15, 2025 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 17, 2014 Accepting new patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Apr 7, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 4, 2020 Accepting new patients
Coffey Brothers Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

15165 McGregor Blvd
Fort Myers, FL 33908
Phone (239) 945-9499

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

7070 S Tamiami Trl
Venice, FL 34293
Phone (863) 266-5997

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

Organizations & group practices 11

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.

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1134493588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12432 DAVIE CT",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935789",
            "telephone_number": "423-215-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12432 DAVIE CT",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935789",
            "telephone_number": "423-215-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "BRANDON",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2651",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2651",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS16524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M1092",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105941700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.