Individual provider Active NPI

Brianna C. Love, PA

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1366684177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9108729 Issued in FL
Practice address
6015 Pointe West Blvd
Bradenton, FL 34209-5525
Phone
(941) 792-1404
Fax
(941) 761-0712
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.003490 OH
Physician Assistant 363A00000X PA 9108729 FL Primary

Addresses

Primary practice location

6015 Pointe West Blvd
Bradenton, FL 34209-5525

Mailing address

6015 Pointe West Blvd
Bradenton, FL 34209-5525
Phone (941) 792-1404

Other practice location 1

8340 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5180
Phone (941) 792-1404

Other practice location 2

180 JFK Dr
Atlantis, FL 33462-6641
Phone (561) 967-6500

Other practice location 3

5101 4th Avenue Cir E
Bradenton, FL 34208-5630
Phone (941) 792-1404

Other identifiers 2

IdentifierTypeStateIssuer
0068885MedicaidOH
XQIDIOtherFLFL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160614002293 FL Practitioner - Physician Assistant 1658536909 Reassigns benefits to 6 organizations
I20250317002169 UT Practitioner - Physician Assistant 1658536909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

460 W 2600
Woods Cross, UT 84010-7716
Phone (801) 295-3135

5323 S Murray Blvd
Murray, UT 84123-6973
Phone (312) 278-7075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9108729FLMDPhysician Assistant
50.003490OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA CurrentSince Aug 28, 2017 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince May 1, 2025 Accepting new patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Florida Pain and Rehabilitation Associates Inc Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101

5101 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 782-2000

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

1930 NE 47th St
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 493-5048

978 International Pkwy
Ste 1440
Lake Mary, FL 32746
Phone (407) 391-3131

8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200

8340 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (914) 748-1818

451 S Milwee St
Ste 1010
Longwood, FL 32750
Phone (321) 424-6950

1170 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 281-9105

5948 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 228-8080

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

1201 E 4500 S
Millcreek, UT 84117
Phone (801) 261-3664

963 E 6600 S
Murray, UT 84121
Phone (559) 320-5106

5323 S Murray Blvd
Salt Lake City, UT 84123
Phone (801) 713-3200

460 W 2600 S
Woods Cross, UT 84010
Phone (801) 295-3135

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366684177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Lakewood Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025180",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 JFK Dr",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334626641",
            "country_code": "US",
            "telephone_number": "561-967-6500",
            "fax_number": "561-423-4687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 4th Avenue Cir E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085630",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "BRIANNA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003490",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9108729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068885",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "XQIDI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.