Active NPI
Jay Howard Brachfeld, MD
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1629061775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME38562
- Practice address
- 20937 Lyons Rd
Boca Raton, FL 33428-1423 - Phone
- (561) 483-5666
- Fax
- (561) 451-2332
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME38562 | FL | Primary |
Addresses
Primary practice location
20937 Lyons Rd
Boca Raton, FL 33428-1423
Mailing address
20937 Lyons Rd
Boca Raton, FL 33428-1423
Phone (561) 483-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000287299 | Other | FL | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1629061775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20937 LYONS RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281423",
"telephone_number": "561-483-5666",
"fax_number": "561-451-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20937 LYONS RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281423",
"telephone_number": "561-483-5666",
"fax_number": "561-451-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACHFELD",
"first_name": "JAY",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME38562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "1000287299",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.