Individual provider Active NPI

Brian E Coleman, MD

  • Orthopaedic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1366442618
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01040221A Issued in IN
Practice address
4800 Linton Blvd
Building a -201
Delray Beach, FL 33445-6584
Phone
(561) 496-6622
Fax
(561) 496-3835
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01040221A IN Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 01040221A IN

Addresses

Primary practice location

4800 Linton Blvd
Building a -201
Delray Beach, FL 33445-6584

Mailing address

4800 Linton Blvd
Building a -201
Delray Beach, FL 33445-6584
Phone (561) 496-6622

Other identifiers 3

IdentifierTypeStateIssuer
000000386686OtherINANTHEM BCBS
200010680MedicaidIN
234270AOtherINMEDICARE INDIVDUAL PROVID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000123 FL Practitioner - Orthopedic Surgery 2668424359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jfi Sports Medicine, LLCGroup PAC ID 9830632116, 2 clinicians
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

12955 Palms W Dr
Suite 202
Loxahatchee, FL 33470-9217
Phone (561) 894-9966

160 Congress Park Dr
Suite 101
Delray Beach, FL 33445-4724
Phone (561) 277-2369

Hospital & facility affiliations

  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01040221AINMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Palm Orthopedics P a Orthopaedic Surgery CurrentSince Mar 21, 2011 Accepting new patients
Jfi Sports Medicine, LLC Orthopaedic Surgery CurrentSince Jul 15, 2024 Accepting new patients
Orthopedic Foot & Ankle Institute Current Accepting new patients
The Methodist Hospitals, Inc Orthopaedic Surgery Past Accepting new patients
Illiana Surgery & Medical Center, LLC Orthopaedic Surgery Past Accepting new patients

Locations

4800 Linton Blvd
Ste A201
Delray Beach, FL 33445
Phone (561) 496-6622

12955 Palms West Dr
Ste 202
Loxahatchee, FL 33470
Phone (561) 753-7010

Dept 6074
Carol Stream, IL 60122

255 E 90th Dr
Ste W3
Merrillville, IN 46410
Phone (219) 756-0400

1551 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 286-3091

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAFDD/Endpoint/FDAFDD
  • Direct secure messaging: brian.coleman@936.chartlogic.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1366442618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BUILDING A -201",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-496-6622",
            "fax_number": "561-496-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BUILDING A -201",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-496-6622",
            "fax_number": "561-496-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRIAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01040221A",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IN",
            "license": "01040221A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000386686",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVDUAL PROVID",
            "identifier": "234270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.