Organization Active NPI

Briseida Casta MD P.a

  • Pediatrics Physician
  • Weston, FL
National Provider Identifier
1447657051
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME74512 Issued in FL
Legal business name
BRISEIDA CASTA MD P.A
Practice address
2731 Executive Park Dr
Suite #3
Weston, FL 33331-3657
Phone
(954) 389-1064
Fax
(954) 389-3541
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Briseida Casta, M.DNPI 1376531566
Title
Owner
Phone
(954) 389-1064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME74512 FL Primary

Addresses

Primary practice location

2731 Executive Park Dr
Suite #3
Weston, FL 33331-3657

Mailing address

2731 Executive Park Dr
Suite #3
Weston, FL 33331-3657
Phone (954) 389-1064

Other identifiers 1

IdentifierTypeStateIssuer
255595600MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1071734Briseida Casta MD PA2731 Executive Park Dr Ste 3, Weston, FL 33331Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory

Locations

2731 Executive Park Dr
Ste 3
Weston, FL 33331
Phone (954) 389-1064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1447657051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 EXECUTIVE PARK DR",
            "address_2": "SUITE #3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313657",
            "telephone_number": "954-389-1064",
            "fax_number": "954-389-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 EXECUTIVE PARK DR",
            "address_2": "SUITE #3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313657",
            "telephone_number": "954-389-1064",
            "fax_number": "954-389-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISEIDA CASTA MD P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CASTA",
        "authorized_official_first_name": "BRISEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-389-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME74512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255595600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.