Individual provider Active NPI

Paul Anderson Brannan, MD.

  • Ophthalmology Physician
  • Sarasota, FL
National Provider Identifier
1235126186
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME102185 Issued in FL
Practice address
5310 Clark Rd
Ste 106
Sarasota, FL 34233-3228
Phone
(941) 921-0400
NPI assigned
Oct 5, 2005
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME102185 FL Primary
Ophthalmology Physician 207W00000X 35076811 OH
Plastic and Reconstructive Surgery Physician 2086S0122X ME102185 FL

Addresses

Primary practice location

5310 Clark Rd
Ste 106
Sarasota, FL 34233-3228

Mailing address

5310 Clark Rd
Ste 106
Sarasota, FL 34233-3228
Phone (941) 921-0400

Other identifiers 4

IdentifierTypeStateIssuer
000000278292OtherOHBCBS FACET NUMBER
10000440MedicaidIN
2307104MedicaidOH
64038763MedicaidKY

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
I20090109000347 FL Practitioner - Ophthalmology 2365487386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rejuva Dermatology and Vein Center, PLLCGroup PAC ID 3173932548, 3 clinicians

Practice addresses (Care Compare)

395 Commercial CT
Suite C
Venice, FL 34292-1651
Phone (941) 529-0070

5310 Clark Rd
Suite 106
Sarasota, FL 34233-3228
Phone (941) 921-0400

Merit-based Incentive Payment System (MIPS)

Final score
96.4 of 100Reported as individual
Quality
94.54
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.38 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
74.78

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision348
Removal of tissue1-10
Removal of skin lesions409
Skin biopsy75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102185FLMDOphthalmology Physician
35076811OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Sarasota Eye Clinic PA Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
Rejuva Dermatology & Vein Center, LLC CurrentSince Apr 1, 2022 Accepting new patients
Total Vein and Skin LLC CurrentSince Jul 1, 2020 Accepting new patients
Aesthetic Eye & Surgical Arts LLC Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Dermatology Associates of the Palm Beaches PLLC PastSince Oct 27, 2019 Accepting new patients
Total Vein and Skin LLC PastSince Feb 12, 2023 Accepting new patients
Cei Physicians PSC, LLC Past Accepting new patients
Silverman Pediatric Ophthalmology PA Ophthalmology Past Accepting new patients
University Eye Physicians, Inc Ophthalmology Past Accepting new patients

Locations

20937 Lyons Rd
Boca Raton, FL 33428
Phone (561) 483-5666

7280 W Palmetto Park Rd
Ste 207
Boca Raton, FL 33433
Phone (561) 278-1362

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 349-7653

217 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-1818

6310 Health Park Way
Ste 340
Lakewood Ranch, FL 34202
Phone (914) 748-1818

3431 NE 1st Ave
Miami, FL 33137
Phone (786) 527-2693

5310 Clark Rd
Ste 106
Sarasota, FL 34233
Phone (941) 921-0400

2389 E Venice Ave
Venice, FL 34292

395 Commercial Ct
Ste C
Venice, FL 34292
Phone (941) 529-0070

Interoperability endpoints

  • Direct secure messaging: pbrannan@pdp.emadirect.md

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1235126186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD",
            "address_2": "STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333228",
            "telephone_number": "941-921-0400",
            "fax_number": "941-870-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 CLARK RD",
            "address_2": "STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333228",
            "telephone_number": "941-921-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "PAUL",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME102185",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35076811",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME102185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACET NUMBER",
            "identifier": "000000278292",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000440",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307104",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64038763",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.