Active NPI
Brandon Cunningham
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Boca Raton, FL
National Provider Identifier
1346974953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 27321
- Practice address
- 380 W Palmetto Park Rd
C102
Boca Raton, FL 33432 - Phone
- (561) 448-4321
- NPI assigned
- Jul 11, 2022
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 27321 | FL | Primary |
Addresses
Primary practice location
380 W Palmetto Park Rd
C102
Boca Raton, FL 33432
Mailing address
380 W Palmetto Park Rd Unit 102C
Boca Raton, FL 33432
Phone (954) 638-5197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27321 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1346974953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 W PALMETTO PARK RD UNIT 102C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33432",
"telephone_number": "954-638-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 W PALMETTO PARK RD",
"address_2": "C102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33432",
"telephone_number": "561-448-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "BRANDON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "FL",
"license": "27321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.