Active NPI
Brian Thomas Bethea, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME119970
- Practice address
- 4205 W Atlantic Ave
BLDG B Suite 201
Delray Beach, FL 33445-3901 - Phone
- (561) 638-9140
- Fax
- (561) 498-0320
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D57533 | MD | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME119970 | FL | Primary |
Addresses
Primary practice location
4205 W Atlantic Ave
BLDG B Suite 201
Delray Beach, FL 33445-3901
Mailing address
4205 W Atlantic Ave
BLDG B Suite 201
Delray Beach, FL 33445-3901
Phone (561) 638-9140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012044000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Oklahoma College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000
3333 N Calvert St
Baltimore, MD 21218-2867
Phone (410) 261-8500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.94 of 100
- Quality
- 66.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D57533 | MD | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Heart Institute LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| The Union Memorial Hospital | Past | Accepting new patients |
Locations
3300 N Calvert St
Fl 2
Baltimore, MD 21218
Phone (410) 554-6550
3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
3333 N Calvert St
Ste LL8
Baltimore, MD 21218
Phone (410) 554-6550
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
Organizations & group practices 5
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1417002908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 W ATLANTIC AVE",
"address_2": "BLDG B SUITE 201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453901",
"telephone_number": "561-638-9140",
"fax_number": "561-498-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 W ATLANTIC AVE",
"address_2": "BLDG B SUITE 201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453901",
"telephone_number": "561-638-9140",
"fax_number": "561-498-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MD",
"license": "D57533",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME119970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012044000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.