Active NPI
Gary Robert Brownell, PA-C
- Physician Assistant
- Ocoee, FL
National Provider Identifier
1619945979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103311
- Practice address
- 10000 W Colonial Dr
Ocoee, FL 34761-3498 - Phone
- (407) 296-1000
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103311 | FL | Primary |
Addresses
Primary practice location
10000 W Colonial Dr
Ocoee, FL 34761-3498
Mailing address
PO Box 361907
Melbourne, FL 32936-1907
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1698 W Hibiscus Blvd
Suite B
Melbourne, FL 32901-2639
Phone (321) 676-3200
2107 Dairy Rd
Melbourne, FL 32904-5241
Phone (321) 956-8224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103311 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Orange Healthcare Inc | Past | Accepting new patients | |
| Brevard Emergency Services | Past | Accepting new patients | |
| Space Coast Health Care Services | Past | Accepting new patients | |
| St Lucie Medical Center Walk-in Clinic LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- gary.brownell.1@32269.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1265765531
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1477910149
-
- Urgent Care Clinic/Center
- Indialantic, FL
- NPI 1952687923
-
- Urgent Care Clinic/Center
- Palm Bay, FL
- NPI 1609240779
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1104870393
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1144274358
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1851444350
-
- Emergency Medicine Physician
- Ocoee, FL
- NPI 1720073737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1619945979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361907",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329361907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613498",
"telephone_number": "407-296-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNELL",
"first_name": "GARY",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.