Individual provider Active NPI

Kenneth E. Bresky, D.O.

  • Rheumatology Physician
  • Boynton Beach, FL
National Provider Identifier
1255368452
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS-7434 Issued in FL
Practice address
10151 Enterprise Ctr Boulevard, Ste 100
Boynton Beach, FL 33437-3759
Phone
(561) 740-4855
Fax
(561) 740-4755
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS-7434 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Boulevard, Ste 100
Boynton Beach, FL 33437-3759

Mailing address

10151 Enterprise Ctr Boulevard, Ste 100
Boynton Beach, FL 33437-3759
Phone (561) 740-4855

Other identifiers 1

IdentifierTypeStateIssuer
254858500MedicaidFL

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
I20071011000279 FL Practitioner - Internal MedicinePractitioner - Rheumatology 9133215882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Nova Southeastern College of Osteo Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

1831 N Belcher Rd
Suite D2
Clearwater, FL 33765-1450
Phone (727) 734-6631

1855 Veterans Park Dr
Suite 103
Naples, FL 34109-0446
Phone (239) 596-5220

6290 Linton Blvd
Suite 102
Delray Beach, FL 33484-6409
Phone (561) 740-4588

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-7434FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince May 1, 2017 Accepting new patients
Holy Cross Hospital Inc Rheumatology Past Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

10151 Entrprs Cntr Blvd
Ste 108
Boynton Beach, FL 33437
Phone (561) 740-4855

10151 Entrprs Cntr Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 740-4855

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

1856 W Hillsboro Blvd
Ste 1
Deerfield Beach, FL 33442

6290 Linton Blvd
Ste 102
Delray Beach, FL 33484
Phone (561) 499-4217

12977 Southern Blvd
Ste 200
Loxahatchee, FL 33470
Phone (561) 747-1987

1855 Veterans Park Dr
Ste 103
Naples, FL 34109
Phone (239) 331-5114

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kenneth.bresky.p53@direct.aara1.nextgenshare.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, 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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1255368452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR BOULEVARD, STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-740-4855",
            "fax_number": "561-740-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR BOULEVARD, STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-740-4855",
            "fax_number": "561-740-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESKY",
        "first_name": "KENNETH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS-7434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254858500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.