Individual provider Active NPI

Brenda Nguyen Liu

  • Physician Assistant
  • Doral, FL
National Provider Identifier
1235640319
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110606 Issued in FL
Practice address
8375 NW 53Rd St
Doral, FL 33166-4611
Phone
(305) 243-8644
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 PA9110606 FL Primary

Addresses

Primary practice location

8375 NW 53Rd St
Doral, FL 33166-4611

Mailing address

8375 NW 53Rd St
Doral, FL 33166-4611
Phone (305) 243-8644

Other practice location 1

1295 NW 14th St Ste A
Miami, FL 33125-1600
Phone (305) 243-8644

Other practice location 2

1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 243-8644

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
I20180223002077 FL Practitioner - Physician Assistant 5395006860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1295 NW 14TH Ave a
Umhc Uhealth Tower
Miami, FL 33125-1600
Phone (305) 243-7070

1295 NW 14TH St
Suite a Gi Suite
Miami, FL 33125-1600
Phone (305) 270-3400

1295 NW 14TH St a S BLDG
Umhc Uhealth Tower
Miami, FL 33125-1600

1295 NW 14TH St E
Umhc Uhealth Tower
Miami, FL 33125-1600
Phone (305) 243-4000

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476

1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005

1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211

1611 NW 12TH Ave Acc E
Miami, FL 33136-1005

1611 NW 12TH Ave Acc E 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave Acc W
Miami, FL 33136-1005

1611 NW 12TH Ave Acc West
Miami, FL 33136-1005

1611 NW 12TH Ave Central
Miami, FL 33136-1005

1611 NW 12TH Ave DTC 1St FLR
JMH
Miami, FL 33136-1005
Phone (305) 585-6970

1611 NW 12TH Ave E
6006 Holtz Children'S Hospital
Miami, FL 33136-1005
Phone (904) 697-3945

1611 NW 12TH Ave FL
3 Acc W. Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH Ave JMH
Miami, FL 33136-1005

1611 NW 12TH Ave JMH 5TH FL
Acc West
Miami, FL 33136-1005
Phone (305) 689-7303

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110606FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jun 1, 2024 Accepting new patients
University of Miami CurrentSince Jun 1, 2024 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

8333 NW 53rd St
Miami, FL 33166
Phone (305) 689-8375

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1295 NW 14th St
Bldg Stea
Miami, FL 33125

1295 NW 14th St
Fl 1
Miami, FL 33125

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

1295 NW 14th St
Ste A
Miami, FL 33125
Phone (305) 243-0783

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: bliu137148@direct.med.miami.edu

Organizations & group practices 5

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.

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1235640319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-243-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-243-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1295 NW 14th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251600",
            "country_code": "US",
            "telephone_number": "305-243-8644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361003",
            "country_code": "US",
            "telephone_number": "305-243-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "BRENDA",
        "middle_name": "NGUYEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.