Individual provider Active NPI

Kyle Braile

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1184385536
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117160 Issued in FL
Practice address
2441 Surfside Blvd Ste 200
Cape Coral, FL 33914-3861
Phone
(239) 541-7553
Fax
(239) 343-4256
NPI assigned
Jan 7, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117160 FL Primary

Addresses

Primary practice location

2441 Surfside Blvd Ste 200
Cape Coral, FL 33914-3861

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 541-7553

Other identifiers 1

IdentifierTypeStateIssuer
128616700MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329001448 FL Practitioner - Physician Assistant 7315311529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Gardner Orthopedics LLCGroup PAC ID 2668793332, 23 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

2441 Surfside Blvd
Cape Coral, FL 33914-3861

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Oct 17, 2025 Accepting new patients
Gardner Orthopedics LLC CurrentSince Feb 6, 2023 Accepting new patients
Lee Health System Inc CurrentSince Oct 17, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2441 Surfside Blvd
Ste 200
Cape Coral, FL 33914
Phone (239) 541-7500

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1184385536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-541-7553",
            "fax_number": "239-343-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 SURFSIDE BLVD STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143861",
            "telephone_number": "239-541-7553",
            "fax_number": "239-343-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAILE",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128616700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.