Individual provider Active NPI

Brette Bean, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1578395992
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3950 3Rd St N Ste a
Saint Petersburg, FL 33703-6123
Phone
(727) 821-0612
Fax
(727) 822-5507
NPI assigned
Aug 14, 2024
Last updated
Mar 24, 2026By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

3950 3Rd St N Ste a
Saint Petersburg, FL 33703-6123

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

6776 54th Ave N
Saint Petersburg, FL 33709-1405
Phone (727) 935-0510

Other practice location 2

6600 University Pkwy Ste 302
Sarasota, FL 34240-9048
Phone (941) 800-5001

Other practice location 3

1260 W Bay Dr Ste C
Largo, FL 33770-2285
Phone (717) 935-0500

Other practice location 4

140 S Beach St Ste 202
Daytona Beach, FL 32114-4409
Phone (888) 506-8838

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912004533 FL Practitioner - Physician Assistant 8123568409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

3950 3Rd St N
Suite a
St Petersburg, FL 33703-6123
Phone (727) 821-0612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Behavioral Health Services of Florida LLC CurrentSince Mar 20, 2025 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients

Locations

140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836

1260 West Bay Dr
Ste C
Largo, FL 33770
Phone (717) 935-0500

6600 University Pkwy
Ste 302
Sarasota, FL 34240
Phone (941) 800-5001

3950 3rd St N
Ste A
St Petersburg, FL 33703
Phone (727) 821-0612

6776 54th Ave N
St Petersburg, FL 33709
Phone (727) 547-8676

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1578395992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500",
            "fax_number": "410-883-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 3RD ST N STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337036123",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6776 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337091405",
            "country_code": "US",
            "telephone_number": "727-935-0510",
            "fax_number": "727-935-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 University Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342409048",
            "country_code": "US",
            "telephone_number": "941-800-5001",
            "fax_number": "941-800-5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 W Bay Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702285",
            "country_code": "US",
            "telephone_number": "717-935-0500",
            "fax_number": "727-935-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 S Beach St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321144409",
            "country_code": "US",
            "telephone_number": "888-506-8838",
            "fax_number": "888-506-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "BRETTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.