Moody Dubreuze

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

HCC12481 Issued in FL

Practice address

2453 N State Road 7
Lauderdale Lakes, FL 33313-3723

Phone

(954) 533-4846

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• G Clef MRI Plus LLC

  • Diagnostic Radiology Physician
  • Lauderdale Lakes, FL
  • NPI 1629766712
  NPD Authorized official

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1194317875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5564",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333105564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133723",
            "telephone_number": "954-533-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBREUZE",
        "first_name": "MOODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "HCC12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Thelma Tennie & Associates
• DRS Carr and Ghitis PL
• DRS. Cukierman & Gomez, Inc
• Dsa Therapy & Health Services
• Dse Health Systems, Inc.
• Idatude Merdelus Dumay
• Johana F Duque, PA
• Michaelange Durant, M.S.
• Rose Marie Cecile Dyer, LPN
• Easy Care Home Agency LLC

• Body Imaging Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Body Imaging Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.