Beaches Ear Nose & Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BEACHES EAR NOSE & THROAT

Practice address

3200 3Rd St S
Suite 101
Jacksonville Beach, FL 32250-6096

Phone

(904) 247-4070

Fax

(904) 247-4131

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Einar Brink, M.D.

Title

Physician/Owner

Phone

(904) 247-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie M Collins, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1326152182
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1144216227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3217",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320043217",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 3RD ST S",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506096",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES EAR NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EINAR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "904-247-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269691601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beach Optical Company
• Beaches Acupuncture & Wellness Center
• Beaches Behavioral Medicine (Beaches Laser Spine and Pain Medicine)
• Beaches Confident Kids LLC
• Beaches Counseling & Therapy
• Beaches Ear, Nose and Throat, PA
• Beaches Eye Center, PA
• Beaches Facial and Nasal Surgery Center
• Beaches Family Medicine PA
• Beaches Healthcare, P.a.

• Otolaryngology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.