Individual provider Active NPI

Brigett Denise Muller, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1326441767
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108217 Issued in FL
Practice address
11621 Kew Gardens Ave Ste 101a
Palm Beach Gardens, FL 33410-2853
Phone
(561) 253-3980
NPI assigned
Sep 30, 2014
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108217 FL
Physician Assistant 363A00000X PA9108217 FL Primary

Addresses

Primary practice location

11621 Kew Gardens Ave Ste 101a
Palm Beach Gardens, FL 33410-2853

Mailing address

1450 Centrepark Blvd Ste 165
West Palm Beach, FL 33401-7432
Phone (561) 253-3980

Other practice location 1

1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171
Phone (561) 253-3980

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111001633 FL Practitioner - Physician Assistant 5799907580 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9108217FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Sep 6, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Sep 6, 2021 Accepting new patients
Cancer Center of South Florida PLLC CurrentSince Sep 6, 2021 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

11621 Kew Gardens Ave
Ste 101A
Palm Beach Gardens, FL 33410
Phone (561) 832-1234

1630 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 621-0012

3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1450 Centrepark Blvd
Ste 165
West Palm Beach, FL 33401

Organizations & group practices 5

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1326441767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CENTREPARK BLVD STE 165",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017432",
            "telephone_number": "561-253-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 KEW GARDENS AVE STE 101A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102853",
            "telephone_number": "561-253-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 S Congress Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334612171",
            "country_code": "US",
            "telephone_number": "561-253-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLER",
        "first_name": "BRIGETT",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108217",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.