Individual provider Active NPI

Bryan Gaudio, D.O.

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1679865885
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12025 Issued in FL
Practice address
4308 Alton Rd Ste 870
Miami Beach, FL 33140-4560
Phone
(305) 538-1400
Fax
(888) 972-9651
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 319913 NY
Family Medicine Physician 207Q00000X 20A13440 CA
Family Medicine Physician 207Q00000X OS12025 FL Primary

Addresses

Primary practice location

4308 Alton Rd Ste 870
Miami Beach, FL 33140-4560

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

16121 Jamaica Ave Ste 7
Jamaica, NY 11432-6113
Phone (929) 421-4630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150414000000 CA Practitioner - Family Practice 6204154701 Reassigns benefits to 1 organization
I20180329000022 FL Practitioner - Family Practice 6204154701 Reassigns benefits to 1 organization
I20230728002244 NY Practitioner - Family Practice 6204154701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVP Medical Practice PCGroup PAC ID 5395970362, 17 clinicians
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

16121 Jamaica Ave
FL 7
Jamaica, NY 11432-6113
Phone (929) 421-4630

3135 State Rd
Suite 1
Safety Harbor, FL 34695-4917
Phone (727) 725-9931

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13440CAMDAcupuncturist
20A13440CAMDFamily Medicine Physician
OS12025FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajs Brooklyn Medical Practice PC CurrentSince Jul 1, 2023 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
Pacific Oaks Medical Group & Subsidiary CurrentSince Feb 8, 2015 Accepting new patients
AIDS Healthcare Foundation CurrentSince Mar 15, 2018 Accepting new patients
Pacific Oaks Medical Group & Subsidiary CurrentSince Feb 8, 2015 Accepting new patients
AIDS Healthcare Foundation CurrentSince Mar 15, 2018 Accepting new patients
MVP Medical Practice PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

150 N Robertson Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 652-2562

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

4308 Alton Rd
Ste 950960
Miami Beach, FL 33140
Phone (305) 538-1400

4308 Alton Rd
Ste 870
Miami Beach, FL 33140
Phone (305) 538-1400

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500

9130 Van Wyck Expy
Jamaica, NY 11418
Phone (929) 421-4620

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bryan.gaudio.1@26356.direct.athenahealth.com

Organizations & group practices 7

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1679865885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 870",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-538-1400",
            "fax_number": "888-972-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16121 Jamaica Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326113",
            "country_code": "US",
            "telephone_number": "929-421-4630",
            "fax_number": "347-532-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "BRYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "319913",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13440",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.