Individual provider Active NPI

Brianna Quinn, PA-C

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1477828291
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106396 Issued in FL
Practice address
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone
(954) 803-9002
Fax
(954) 933-2305
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 PA9106396 FL
Physician Assistant 363A00000X PA9106396 FL Primary

Addresses

Primary practice location

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640

Mailing address

8201 W Broward Blvd
Plantation, FL 33324-2701

Other practice location 1

3540 N Pine Island Rd
Sunrise, FL 33351-6637
Phone (954) 321-1776

Other practice location 2

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 476-3900

Other practice location 3

8395 W Oakland Park Blvd Ste E-F
Sunrise, FL 33351-7301
Phone (954) 803-9002

Other practice location 4

1414 SE 3rd Ave
Fort Lauderdale, FL 33316-1910
Phone (954) 803-9002

Other identifiers 1

IdentifierTypeStateIssuer
009055500MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130715000669 FL Practitioner - Physician Assistant 9335389360 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106396FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Sunrise Medical Group I LLC CurrentSince Apr 16, 2014 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

4925 Sheridan St
Ste 100
Hollywood, FL 33021
Phone (954) 962-3277

16800 NW 2nd Ave
Ste 308
North Miami Beach, FL 33169
Phone (305) 652-3062

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

3540 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 321-1776

Organizations & group practices 7

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1477828291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516637",
            "country_code": "US",
            "telephone_number": "954-321-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-476-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8395 W Oakland Park Blvd Ste E-F",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517301",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 SE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161910",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "BRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106396",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009055500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.