Active NPI
Bryan Gaudio, D.O.
- Family Medicine Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12025
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13440 | CA | MD | Acupuncturist |
| 20A13440 | CA | MD | Family Medicine Physician |
| OS12025 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajs Brooklyn Medical Practice PC | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| Pacific Oaks Medical Group & Subsidiary | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| Pacific Oaks Medical Group & Subsidiary | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| MVP Medical Practice PC | Current | 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
- 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.
-
dba Ahf
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1912541061
-
- General Practice Physician
- Beverly Hills, CA
- NPI 1225127566
-
dba AHF Pharmacy
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
- Clinic/Center
- Brooklyn, NY
- NPI 1558707299
-
dba Consolidated Laboratory Services
- Clinical Medical Laboratory
- Beverly Hills, CA
- NPI 1356700678
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.