Active NPI
Brandon Lucas Coffey, D.O.
- Internal Medicine Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS16524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M1092 | Other | FL | MEDICARE |
| 105941700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141001001540 | TN | Practitioner - Internal Medicine | 9739309469 | Reassigns benefits to 2 organizations |
| I20200330003663 | FL | Practitioner - Internal Medicine | 9739309469 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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 LLC
Practice addresses (Care Compare)
7070 S Tamiami TRL
Venice, FL 34293-5114
Phone (941) 236-9535
Hospital & facility affiliations
- HCA Florida Englewood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2651 | TN | MD | Registered Dietitian |
| OS16524 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Ies Florida PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Port Charlotte HBP Services LLC | Emergency Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| MD Now Medical Centers Inc | Current | 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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Emergency Medicine, FL
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
FL, Internal Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
FL, Internal Medicine
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376147835
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Emergency Medicine, TN
-
- Clinic/Center
- Oneida, TN
- NPI 1013300615
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.