Active NPI
Brandon Tabares
- Case Manager/Care Coordinator
- Miami, FL
National Provider Identifier
1497339675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 10237 SW 24TH St Apt C443
Miami, FL 33165-2567 - Phone
- (305) 926-7398
- NPI assigned
- May 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
10237 SW 24TH St Apt C443
Miami, FL 33165-2567
Mailing address
10237 SW 24TH St Apt C443
Miami, FL 33165-2567
Phone (305) 926-7398
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Other | |
| Other URL | Other | ||
| Other URL | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1497339675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10237 SW 24TH ST APT C443",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652567",
"telephone_number": "305-926-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10237 SW 24TH ST APT C443",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652567",
"telephone_number": "305-926-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABARES",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"address_1": "10237 SW 24th St Apt C443",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331652567",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"address_1": "10237 SW 24th St Apt C443",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331652567",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"address_1": "10237 SW 24th St Apt C443",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331652567",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.