Brenda Ann Lewis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0064089 Issued in FL

Practice address

735 Primera Blvd
Suite #135
Lake Mary, FL 32746-2112

Phone

(407) 321-0085

Fax

(407) 328-7658

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Ann Baracka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Partners of Central Florida, PA

  • Pediatrics Physician
  • Lake Mary, FL
  • NPI 1407977150
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497706337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PRIMERA BLVD",
            "address_2": "SUITE #135",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462112",
            "telephone_number": "407-321-0085",
            "fax_number": "407-328-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PRIMERA BLVD",
            "address_2": "SUITE #135",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462112",
            "telephone_number": "407-321-0085",
            "fax_number": "407-328-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0064089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BARACKA",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Marie Leskanic, APRN
• Ebony Necole Leverett, RBT
• Elizabeth Rose Levin
• Leslie Levy
• Shihan Zhang Levy, PA-C
• Julie Lewis, BCBA
• Lexicon Therapy, Inc
• Sarah C Li, M.D.
• Belinda Liau, A.P.
• Lidia Oliveira, D.O., P.a.

• Pediatrics Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.