Individual provider Active NPI

Carly Rose Brand Levine, MD, MPH

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1184086571
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME140575 Issued in FL
Practice address
8932 SW 97TH Ave Ste D
Miami, FL 33176-1936
Phone
(305) 270-5050
Fax
(305) 270-3846
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME140575 FL Primary

Addresses

Primary practice location

8932 SW 97TH Ave Ste D
Miami, FL 33176-1936

Mailing address

1150 NW 14TH St Ste 410
Miami, FL 33136-2115
Phone (305) 243-7570

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
I20200819003348 FL Practitioner - Pediatric Medicine 0840616918 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140575FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Pediatrics CurrentSince Jul 2, 2020 Accepting new patients
University of Miami CurrentSince Jul 2, 2020 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8932 SW 97th Ave
Ste D
Miami, FL 33176
Phone (305) 243-3166

1150 NW 14th St
Ste 410
Miami, FL 33136
Phone (305) 243-7570

1601 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4029

Organizations & group practices 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1184086571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362115",
            "telephone_number": "305-243-7570",
            "fax_number": "305-243-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 SW 97TH AVE STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761936",
            "telephone_number": "305-270-5050",
            "fax_number": "305-270-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "CARLY",
        "middle_name": "ROSE BRAND",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME140575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.