Individual provider Active NPI

Joseph Peter Brophy, MD

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1659699460
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME167163 Issued in FL
Practice address
1200 S Federal Hwy Ste 302
Boynton Beach, FL 33435-6058
Phone
(561) 509-9382
Fax
(561) 509-9362
NPI assigned
May 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32551 SC
Family Medicine Physician 207Q00000X 54678 CT
Pain Medicine Physician 208VP0000X ME167163 FL
Family Medicine Physician 207Q00000X ME167163 FL Primary

Addresses

Primary practice location

1200 S Federal Hwy Ste 302
Boynton Beach, FL 33435-6058

Mailing address

1200 S Federal Hwy Ste 302
Boynton Beach, FL 33435-6058
Phone (561) 509-9382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160627001858 CT Practitioner - Family Practice 8426226424 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167163FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince May 2, 2016 Accepting new patients
Diverse Medical Professionals, PA Pain Medicine CurrentSince Jun 30, 2024 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

816 Broad St
Ste 24
Meriden, CT 06450
Phone (203) 238-1919

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

1200 S Federal Hwy
Ste 302
Boynton Beach, FL 33435
Phone (561) 509-9382

Interoperability endpoints

  • Direct secure messaging: joseph.brophy.npi1659699460.phpct@direct.optumcare.masshiway.net

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1659699460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY STE 302",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356058",
            "telephone_number": "561-509-9382",
            "fax_number": "561-509-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY STE 302",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356058",
            "telephone_number": "561-509-9382",
            "fax_number": "561-509-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32551",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "54678",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME167163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME167163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.