Individual provider Active NPI

Stephen A McLeod-Bryant, MD

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1669580510
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME123802 Issued in FL
Practice address
814 Ponce de Leon Blvd Ste 504
Coral Gables, FL 33134-3035
Phone
(786) 734-5912
Fax
(843) 604-0372
NPI assigned
Aug 29, 2006
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 13997 SC
Psychiatry Physician 2084P0800X 49560 TN
Psychiatry Physician 2084P0800X ME123802 FL Primary

Addresses

Primary practice location

814 Ponce de Leon Blvd Ste 504
Coral Gables, FL 33134-3035

Mailing address

814 Ponce de Leon Blvd Ste 504
Coral Gables, FL 33134-3035
Phone (843) 532-9403

Other practice location 1

3028 McDonald St.
Suite 1443
Miami, FL 33133-4415
Phone (843) 532-9403

Other practice location 2

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone (954) 731-1000

Other practice location 3

4300 NW 12th Ave
Miami, FL 33127-2540
Phone (305) 850-3398

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
I20150727000060 FL Practitioner - Psychiatry 5698856441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Rochester School of Medicine and Dentistry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Behavioral Health, Inc.Group PAC ID 4688574643, 21 clinicians

Practice addresses (Care Compare)

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone (954) 486-4005

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123802FLMDPsychiatry Physician
13997SCMDPsychiatry Physician
49560TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Henderson Behavioral Health, Inc. Psychiatry CurrentSince Apr 4, 2024 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Apr 4, 2024 Accepting new patients
Nashville Anesthesia PLLC Past Accepting new patients
African and American Healthcare Foundation Past Accepting new patients

Locations

330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

4700 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 730-7284

4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850

1120 NW 14th St
Ste 1443
Miami, FL 33136

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2900 W Prospect Rd
Tamarac, FL 33309
Phone (954) 677-3113

Interoperability endpoints

  • Direct secure messaging: smcleodbryant39867@direct.med.miami.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1669580510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD STE 504",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343035",
            "telephone_number": "843-532-9403",
            "fax_number": "843-604-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD STE 504",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343035",
            "telephone_number": "786-734-5912",
            "fax_number": "843-604-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 McDonald St.",
            "address_2": "Suite 1443",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334415",
            "country_code": "US",
            "telephone_number": "843-532-9403",
            "fax_number": "843-604-0372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 W Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333092519",
            "country_code": "US",
            "telephone_number": "954-731-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331272540",
            "country_code": "US",
            "telephone_number": "305-850-3398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD-BRYANT",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "13997",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "49560",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME123802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.