Individual provider Active NPI

Carole D. Brathwaite Talbot, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Miami, FL
National Provider Identifier
1619949641
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
ME62536 Issued in FL
Practice address
3100 SW 62 Avenue
Miami, FL 33155-3009
Phone
(305) 662-8248
Fax
(305) 669-6419
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X ME62536 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME62536 FL
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X ME62536 FL Primary

Addresses

Primary practice location

3100 SW 62 Avenue
Miami, FL 33155-3009

Mailing address

P.O. Box 198235
Atlanta, GA 30384-8235
Phone (305) 662-8248

Other names 1

  • Carole D. Brathwaite Former name

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
I20130528000264 FL Order and Referring Only - PathologyPractitioner - Pathology 6002054384

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Children'S Hospital Pathologists, PA Cytopathology PastSince Aug 25, 2019 Accepting new patients
Miami Children'S Hospital Pathologists, PA Anatomic Pathology & Clinical Pathology PastSince Dec 3, 2023 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1619949641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 198235",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848235",
            "telephone_number": "305-662-8248",
            "fax_number": "305-669-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8248",
            "fax_number": "305-669-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATHWAITE TALBOT",
        "first_name": "CAROLE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME62536",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME62536",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "ME62536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "BRATHWAITE",
            "middle_name": "D.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.