Jose Antonio Brea, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 111927 Issued in FL

Practice address

8399 Pines Blvd
Pembroke Pines, FL 33024-6607

Phone

(954) 518-6540

Fax

(954) 443-8035

NPI assigned

Oct 26, 2009

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1336475417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 NW 189TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186235",
            "telephone_number": "786-376-2156",
            "fax_number": "305-884-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246607",
            "telephone_number": "954-518-6540",
            "fax_number": "954-443-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 111927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brave Babies LLC
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• Carolina Bravo, DMD
• Cristina M Bravo, RN
• Hailey Brea
• Breathe Easy Healthcare LLC
• Evelyn Breijo Perez
• Brenda Sanzobrino PLLC
• Sergio Ignacio Brenes, APRN
• Robert G. Brennan, M.D

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.