Individual provider Active NPI

Brittany Kim

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1275252918
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116192 Issued in FL
Practice address
100 SE 15TH Ave
Fort Lauderdale, FL 33301-3985
Phone
(954) 983-1899
NPI assigned
Aug 25, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 PA9116192 FL Primary

Addresses

Primary practice location

100 SE 15TH Ave
Fort Lauderdale, FL 33301-3985

Mailing address

1800 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4222
Phone (727) 865-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221005001491 FL Practitioner - Physician Assistant 1254717838 Reassigns benefits to 1 organization
I20240309000769 VI Practitioner - Physician Assistant 1254717838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704-4222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates LLC CurrentSince Feb 21, 2025 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 101
Boynton Beach, FL 33437
Phone (561) 732-2136

7841 Cambridge Manor Pl
Ste C
Fort Myers, FL 33907
Phone (239) 908-3593

100 SE 15th Ave
Ft Lauderdale, FL 33301
Phone (954) 607-1691

4800 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 688-7269

210 Jupiter Lakes Blvd
Bldg 3000
Jupiter, FL 33458
Phone (561) 677-4353

1971 SW 172nd Ave
Ste 3125
Miramar, FL 33029

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

Organizations & group practices 2

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1275252918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044222",
            "telephone_number": "727-865-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013985",
            "telephone_number": "954-983-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.