NPIMap

Individual provider Active NPI

Brian F Perez, MD

  • Family Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1366494528
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME71130 Issued in FL
Practice address
1395 El Rito Dr
Gulf Breeze, FL 32563-6707
Phone
(850) 932-9251
Fax
(850) 932-9199
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME71130 FL Primary

Addresses

Primary practice location

1395 El Rito Dr
Gulf Breeze, FL 32563-6707

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4500

Other identifiers 1

IdentifierTypeStateIssuer
0253852100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000476 FL Practitioner - Family Practice 9133284953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System Inc 373 clinicians

Practice addresses (Care Compare)

4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000

Hospital & facility affiliations

  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71130FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Mar 14, 2017 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System Inc CurrentSince Mar 14, 2017 Accepting new patients
Elaine C Sharp MD PA PastSince Mar 1, 2015 Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

1395 El Rito Dr
Gulf Breeze, FL 32563
Phone (850) 733-9343

4033 Gulf Breeze Pkwy
Ste B
Gulf Breeze, FL 32563
Phone (850) 416-2641

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

8220 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-7272

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

Interoperability endpoints

  • Direct secure messaging: brian.perez.1@9582.direct.athenahealth.com

Organizations & group practices 8

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 6

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1366494528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 EL RITO DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325636707",
            "telephone_number": "850-932-9251",
            "fax_number": "850-932-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "BRIAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253852100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.