Active NPI
Brett Alan Faulknier, D.O.
- Clinical Cardiac Electrophysiology Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- OS13906
- Practice address
- 3450 11TH CT Ste 104a
Vero Beach, FL 32960-5012 - Phone
- (772) 226-4830
- Fax
- (772) 226-4835
- NPI assigned
- Feb 7, 2007
- Last updated
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 1868 | WV | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | L8684 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | OS13906 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 104a
Vero Beach, FL 32960-5012
Mailing address
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018849900 | Medicaid | FL | |
| 2003756000 | Medicaid | WV |
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
- Cardiac Electrophysiology
- Education
- West Virginia School of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311
3450 11TH CT
Vero Beach, FL 32960-5012
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Martin North Hospital
- Orlando Health Sebastian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1868 | WV | MD | Professional Counselor |
| L8684 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4444
3450 11th Ct
Ste 104A
Vero Beach, FL 32960
Phone (772) 226-4830
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
dba Irhs-Primary Care South
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1093095333
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Orlando Health Sebastian River Hospital
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1346380771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311",
"fax_number": "772-794-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 104A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-226-4830",
"fax_number": "772-226-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNIER",
"first_name": "BRETT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WV",
"license": "1868",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "L8684",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "FL",
"license": "OS13906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018849900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003756000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.