Individual provider Active NPI

Paula Breit, MD

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1619930344
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103201 Issued in FL
Practice address
111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701
Phone
(954) 429-2418
Fax
(954) 429-2389
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 89630 GA
Family Medicine Physician 207Q00000X 200601665 NC
Family Medicine Physician 207Q00000X 36813 AL
Family Medicine Physician 207Q00000X ME103201 FL Primary
Internal Medicine Physician 207R00000X 2021042681 MO

Addresses

Primary practice location

111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701

Mailing address

111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701
Phone (954) 429-2418

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
I20260420000080 FL Order and Referring Only - Family PracticePractitioner - Family Practice 2062434392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36813ALMDFamily Medicine Physician
ME103201FLMDFamily Medicine Physician
89630GAMDFamily Medicine Physician
200601665NCMDFamily Medicine Physician
2021042681MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Baptist Medical Center Community Physicians Family Medicine Past Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1619930344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JIM MORAN BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421701",
            "telephone_number": "954-429-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JIM MORAN BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421701",
            "telephone_number": "954-429-2418",
            "fax_number": "954-429-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIT",
        "first_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89630",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200601665",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "36813",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103201",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021042681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.