Individual provider Active NPI

Brandon Montana, APRN

  • Acute Care Nurse Practitioner
  • Tavernier, FL
National Provider Identifier
1376037549
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11038068 Issued in FL
Practice address
91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone
(305) 434-3000
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11038068 FL Primary
Nurse Practitioner 363L00000X 5010631 NC

Addresses

Primary practice location

91500 Overseas Hwy
Tavernier, FL 33070-2547

Mailing address

3600 Red Rd Ste 401
Miramar, FL 33025-6014
Phone (919) 357-7533

Other practice location 1

1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 662-9300

Other practice location 2

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 662-9300

Other practice location 3

3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmontana143435@direct.nhrmc.org Direct
Direct Messaging Address bmontana143435@direct.nhrmc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181025002390 NC Practitioner - Nurse Practitioner 2961755632 Reassigns benefits to 2 organizations
I20241107001063 SC Practitioner - Nurse Practitioner 2961755632
I20250808003539 FL Practitioner - Nurse Practitioner 2961755632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

3301 Overseas Hwy
Marathon, FL 33050-2329
Phone (305) 743-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shi Keys LLC CurrentSince Jun 6, 2025 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Aug 15, 2018 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Current Accepting new patients
DLP Person Urgent Care LLC Family Medicine CurrentSince Aug 15, 2018 Accepting new patients

Locations

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

3600 Red Rd
Ste 401
Miramar, FL 33025
Phone (786) 607-0617

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720

1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9300

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: brandon.montana@hca5.eclinicaldirectplus.com
  • Direct secure messaging: bmontana755754@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1376037549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 401",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256014",
            "telephone_number": "919-357-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91500 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702547",
            "telephone_number": "305-434-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 New Hanover Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035345",
            "country_code": "US",
            "telephone_number": "910-662-9300",
            "fax_number": "910-662-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-662-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3762 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "27573",
            "country_code": "US",
            "telephone_number": "336-330-0400",
            "fax_number": "336-330-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "BRANDON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11038068",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmontana143435@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmontana143435@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1725 New Hanover Medical Park Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284035345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.