Individual provider Active NPI

Brenda Naumovitz, APRN

  • Family Medicine Physician
  • Orange City, FL
National Provider Identifier
1649162124
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11040438 Issued in FL
Practice address
2884 Wellness Ave
Orange City, FL 32763-8426
Phone
(386) 774-0016
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11040438 FL Primary
Oncology Registered Nurse 163WX0200X APRN11040438 FL
Pediatrics Physician 208000000X APRN11040438 FL

Addresses

Primary practice location

2884 Wellness Ave
Orange City, FL 32763-8426

Mailing address

1474 McGregor Rd
Deland, FL 32720-4419
Phone (386) 717-8317

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
I20250922001339 FL Practitioner - Nurse Practitioner 9931603966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Volusia Family and Sports Medicine IncGroup PAC ID 1456483098, 11 clinicians

Practice addresses (Care Compare)

1590 S Sr
15A Suite 100
Deland, FL 32720-7817
Phone (386) 774-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11040438FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Volusia Family and Sports Medicine Inc Family Medicine CurrentSince Aug 18, 2025 Accepting new patients

Locations

739 S Spring Garden Ave
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Ste 100
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Deland, FL 32720
Phone (386) 734-9400

1590 S State Road 15A
#100
Deland, FL 32720
Phone (386) 774-0016

2884 Wellness Ave
Ste 200
Orange City, FL 32763
Phone (386) 774-0016

2884 Wellness Ave
Orange City, FL 32763
Phone (386) 774-0016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGIBD

Organizations & group practices 1

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1649162124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 MCGREGOR RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204419",
            "telephone_number": "386-717-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638426",
            "telephone_number": "386-774-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMOVITZ",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11040438",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "FL",
            "license": "APRN11040438",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "APRN11040438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.