Individual provider Active NPI

Brian C Moraes, DO

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1417908823
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7601 Issued in FL
Practice address
9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988
Phone
(561) 883-7770
Fax
(561) 883-7779
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7601 FL Primary

Addresses

Primary practice location

9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988

Mailing address

9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988
Phone (561) 883-7770

Other identifiers 9

IdentifierTypeStateIssuer
9064736001OtherFLCIGNA
2130594OtherFLAETNA HMO
38219OtherFLNEIGHBORHOOD HEALTH PARTNERSHIP
44811OtherFLBLUE CROSS BLUE SHIELD
7911846OtherFLGHI
5501766OtherFLAETNA NON-HMO
258524OtherFLAVMED
G06413OtherFLPHCS
P00062704OtherFLRAILROAD MEDICARE

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
I20060113000260 FL Practitioner - Internal Medicine 2668495813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 115
Boca Raton, FL 33487-5712
Phone (561) 997-8484

9325 Glades Rd
Boca Raton, FL 33434-3988

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7601FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima of South Florida LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Bethesda Health Outpatient Services, Inc. Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

9325 Glades Rd
Ste 208
Boca Raton, FL 33434
Phone (561) 826-1901

9325 Glades Rd
Ste 107
Boca Raton, FL 33434
Phone (561) 430-3599

Interoperability endpoints

  • Direct secure messaging: brian.moraes.1@31574.direct.athenahealth.com

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1417908823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD",
            "address_2": "SUITE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-883-7770",
            "fax_number": "561-883-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD",
            "address_2": "SUITE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-883-7770",
            "fax_number": "561-883-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAES",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9064736001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2130594",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PARTNERSHIP",
            "identifier": "38219",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44811",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7911846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "5501766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "258524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "G06413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00062704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.