Organization Active NPI

Evelyn Lopez-Brignoni MD PA

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1487062451
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0054458 Issued in FL
Legal business name
EVELYN LOPEZ-BRIGNONI MD PA
Practice address
475 Biltmore Way Ste 204
Coral Gables, FL 33134-5736
Phone
(305) 670-1411
Fax
(305) 670-2811
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Evelyn Lopez Brignoni, MDNPI 1306060256
Title
Owner
Phone
(305) 670-1411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME0054458 FL Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X ME0054458 FL

Addresses

Primary practice location

475 Biltmore Way Ste 204
Coral Gables, FL 33134-5736

Mailing address

475 Biltmore Way Ste 204
Coral Gables, FL 33134-5736
Phone (305) 670-1411

Other identifiers 1

IdentifierTypeStateIssuer
008280OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160531001784 FL Part B Supplier - Clinic/Group Practice 6406146604 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

299 Alhambra Cir
Ste 218
Coral Gables, FL 33134
Phone (305) 670-1411

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1487062451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345736",
            "telephone_number": "305-670-1411",
            "fax_number": "305-670-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345736",
            "telephone_number": "305-670-1411",
            "fax_number": "305-670-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN LOPEZ-BRIGNONI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ BRIGNONI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-670-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0054458",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0054458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "008280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.