Active NPI
Kenneth E. Bresky, D.O.
- Rheumatology Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS-7434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254858500 | Medicaid | FL |
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
- Internal Medicine
- Education
- Nova Southeastern College of Osteo Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-7434 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Arthritis & Rheumatology Associates LLC | Rheumatology | Current | 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
- 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.
-
- Rheumatology Physician
- Jupiter, FL
- NPI 1598205072
-
- Rheumatology Physician
- Boynton Beach, FL
- NPI 1649471608
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Rheumatology
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
- Richard M Bregman, M.D.
- Robert Alexander Bregman, M.D.
- Dara Brenker, M.S.
- Charity Brennan, MS, RDN/LDN, CNSC
- Brent C Stuart LLC (BCS Physical Therapy & Wellness)
- Ralph Barry Breslaw, MD
- Brett R. Hutton, M.D., P.a. (The Arthritis Center of the Palm Beaches)
- Breuer Health of Boynton Beach
- Brian Mattison DPM PA
- Bridge Resilience, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.