Individual provider Active NPI

Amade Bregy, M.D., PH.D.

  • Neurological Surgery Physician
  • Kissimmee, FL
National Provider Identifier
1508249376
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME154416 Issued in FL
Practice address
905 N Central Ave
Kissimmee, FL 34741-5005
Phone
(407) 847-0113
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 1508249376 NY
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X ME154416 FL Primary

Addresses

Primary practice location

905 N Central Ave
Kissimmee, FL 34741-5005

Mailing address

905 N Central Ave
Kissimmee, FL 34741-5005
Phone (407) 847-0113

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128000729 FL Practitioner - Neurosurgery 8224376710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurohealth Sciences Center, LLCGroup PAC ID 3870590169, 6 clinicians

Practice addresses (Care Compare)

905 N Central Ave
Kissimmee, FL 34741-5005
Phone (407) 847-0113

Hospital & facility affiliations

  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1508249376NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurohealth Sciences Center, LLC Neurological Surgery CurrentSince Aug 17, 2022 Accepting new patients

Locations

905 N Central Ave
Kissimmee, FL 34741
Phone (407) 847-0113

2525 Harbor Blvd
Pt Charlotte, FL 33952
Phone (407) 833-7505

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: amade.bregy@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1508249376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415005",
            "telephone_number": "407-847-0113",
            "fax_number": "407-847-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415005",
            "telephone_number": "407-847-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGY",
        "first_name": "AMADE",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "1508249376",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME154416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.