Active NPI
Brian Elliott Haley, MD
- Obstetrics & Gynecology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME122922
- Practice address
- 7301A W Palmetto Park Rd Ste 305a
Boca Raton, FL 33433-3466 - Phone
- (561) 372-9161
- Fax
- (877) 651-1244
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01057598B | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | ME122922 | FL | Primary |
Addresses
Primary practice location
7301A W Palmetto Park Rd Ste 305a
Boca Raton, FL 33433-3466
Mailing address
8180 NW 125TH LN
Parkland, FL 33076-4964
Phone (260) 458-4225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IH826Z | Other | FL | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
7301 A W Palmetto Park Rd
Boca Raton, FL 33433-3466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122922 | FL | MD | Obstetrics & Gynecology Physician |
| 01057598B | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Institute for Women'S Health and Body, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7301A W Palmetto Park Rd
Ste 305A
Boca Raton, FL 33433
Phone (561) 372-9161
1050 NW 15th St
Ste 215A
Boca Raton, FL 33486
Phone (561) 392-7704
7301A W Palmetto Park Rd
Ste 200C
Boca Raton, FL 33433
Phone (561) 894-1370
8110 Royal Palm Blvd
Ste 108
Coral Springs, FL 33065
Phone (954) 341-8288
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
Interoperability endpoints
- brian.haley.1@7598.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Wellington, FL
- NPI 1558750281
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1245230515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8180 NW 125TH LN",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764964",
"telephone_number": "260-458-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301A W PALMETTO PARK RD STE 305A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333466",
"telephone_number": "561-372-9161",
"fax_number": "877-651-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "BRIAN",
"middle_name": "ELLIOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01057598B",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME122922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IH826Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.