Individual provider Active NPI

Aida Brax

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1215587340
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112536 Issued in FL
Practice address
13005 Collier Blvd
Naples, FL 34116-4003
Phone
(239) 354-4093
NPI assigned
Sep 20, 2019
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 9112536 FL Primary

Addresses

Primary practice location

13005 Collier Blvd
Naples, FL 34116-4003

Mailing address

1483 Palma Blanca CT
Naples, FL 34119-3368

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
I20200219001026 FL Practitioner - Physician Assistant 8729415468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meliora Healthcare PLLCGroup PAC ID 6204297237, 6 clinicians

Practice addresses (Care Compare)

708 Goodlette-Frank Rd N
FL 2
Naples, FL 34102-5644
Phone (239) 291-7005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9112536FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Jan 18, 2020 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jan 18, 2020 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Jan 18, 2020 Accepting new patients
Meliora Healthcare, PLLC CurrentSince Nov 11, 2025 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

13005 Collier Blvd
Naples, FL 34116
Phone (239) 354-4093

708 Goodlette Rd
Naples, FL 34102
Phone (239) 291-7005

708 Goodlette Rd
Fl 2
Naples, FL 34102
Phone (239) 291-7005

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: aida.brax.1@29169.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29169/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1215587340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 PALMA BLANCA CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164003",
            "telephone_number": "239-354-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAX",
        "first_name": "AIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.