Individual provider Active NPI

Bradley William Gang, DO

  • Anesthesiology Physician
  • Coral Springs, FL
National Provider Identifier
1568049724
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS22120 Issued in FL
Practice address
9601 W Sample Rd
Coral Springs, FL 33065-4001
Phone
(754) 206-1877
Fax
(754) 229-3866
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS22120 FL
Anesthesiology Physician 207L00000X OS22120 FL Primary

Addresses

Primary practice location

9601 W Sample Rd
Coral Springs, FL 33065-4001

Mailing address

2710 W Atlantic Ave
Delray Beach, FL 33445-4431
Phone (754) 206-1877

Other practice location 1

1347 E Sample Rd Ste 101
Pompano Beach, FL 33064-6278
Phone (754) 206-1877

Other practice location 2

1347 E Sample Rd Ste B
Pompano Beach, FL 33064-6278
Phone (754) 331-0168

Other practice location 3

655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-3237

Other practice location 4

1600 SW Archer Rd
Gainesville, FL 32610-6511
Phone (352) 273-8610

Other practice location 5

2710 W Atlantic Ave
Delray Beach, FL 33445-4431
Phone (754) 206-1877

Other identifiers 1

IdentifierTypeStateIssuer
126936700MedicaidFL

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
I20250607000102 FL Practitioner - Anesthesiology 0143622415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS22120FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

655 W 8th St
#C72
Jacksonville, FL 32209
Phone (904) 244-3237

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bgang790016@direct.shands.ufl.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1568049724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454431",
            "telephone_number": "754-206-1877",
            "fax_number": "754-229-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654001",
            "telephone_number": "754-206-1877",
            "fax_number": "754-229-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1347 E Sample Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646278",
            "country_code": "US",
            "telephone_number": "754-206-1877",
            "fax_number": "754-229-3866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1347 E Sample Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646278",
            "country_code": "US",
            "telephone_number": "754-331-0168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326106511",
            "country_code": "US",
            "telephone_number": "352-273-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 W Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334454431",
            "country_code": "US",
            "telephone_number": "754-206-1877",
            "fax_number": "754-229-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANG",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS22120",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS22120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126936700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.