Individual provider Active NPI

Brian Elliott Haley, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1245230515
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME122922 Issued in FL
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

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IH826ZOtherFLMEDICARE

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
I20151009000873 FL Practitioner - Obstetrics/Gynecology 9133182561 Reassigns benefits to 1 organization

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
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

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

LicenseStateTypeSpecialty
ME122922FLMDObstetrics & Gynecology Physician
01057598BINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology CurrentSince Jan 15, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.