Individual provider Active NPI

Noel R. Braseth, MD

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1164515268
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME78343 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 733-0477
Fax
(352) 733-0371
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME78343 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001
Phone (352) 265-8335

Other identifiers 1

IdentifierTypeStateIssuer
256901900MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000580 FL Practitioner - Emergency Medicine 5193765618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Family Urgent Care, LLC 5 clinicians
Medlink Management Services Inc 26 clinicians

Practice addresses (Care Compare)

1834 SW 1St Ave
Suite 201
Ocala, FL 34471-8102
Phone (352) 512-9703

575 SE 3Rd Ave
Lake Butler, FL 32054-2647

Hospital & facility affiliations

  • Lake Butler Hospital Hospital, Lake Butler, FL, CCN 101303
  • Lake Butler Hospital Nursing home, CCN 10Z303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Medical Center LLC CurrentSince Jun 1, 2014 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Mar 1, 2010 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Emergency Physicians Medical Center, LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Sheridan Emergency Physician Services, Inc Emergency Medicine CurrentSince Mar 1, 2010 Accepting new patients
Medlink Management Services Inc CurrentSince Apr 1, 2014 Accepting new patients
Magnolia Family Urgent Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
Dolphin Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Nes of Florida Inc Emergency Medicine Past Accepting new patients
Medlink Management Services Inc Past Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Nes of Florida Inc Emergency Medicine Past Accepting new patients

Locations

9181 NW 39th Ave
Gainesville, FL 32606
Phone (352) 872-5111

2445 SW 76th St
Ste 110
Gainesville, FL 32608
Phone (325) 872-5111

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

575 SE 3rd Ave
Ste 2
Lake Butler, FL 32054
Phone (386) 496-1922

575 SE 3rd Ave
Ste 3
Lake Butler, FL 32054

850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922

1834 SW 1st Ave
Ste 201
Ocala, FL 34471
Phone (352) 512-9703

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

Organizations & group practices 15

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.

View all 15

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1164515268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-8335",
            "fax_number": "352-733-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-733-0477",
            "fax_number": "352-733-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASETH",
        "first_name": "NOEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME78343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256901900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.