Individual provider Active NPI

Bruno Michael Maton, M.D.

  • Epilepsy Physician
  • Orlando, FL
National Provider Identifier
1689668832
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
ME169881 Issued in FL
Practice address
2881 Delaney Ave
Orlando, FL 32806-5411
Phone
(407) 652-6000
NPI assigned
Sep 2, 2005
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 234744 NY
Neurology Physician 2084N0400X 0101243229 VA
Epilepsy Physician 2084E0001X ME169881 FL Primary

Addresses

Primary practice location

2881 Delaney Ave
Orlando, FL 32806-5411

Mailing address

929 S Spigel Dr
Virginia Beach, VA 23454-1817
Phone (757) 416-4886

Other identifiers 1

IdentifierTypeStateIssuer
02623756MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080602000711 VA Practitioner - Neurology 5991759268 Reassigns benefits to 1 organization
I20241209001773 FL Practitioner - Neurology 5991759268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Epilepsy Center IncGroup PAC ID 0749440410, 13 clinicians

Practice addresses (Care Compare)

821 E Oak St
Kissimmee, FL 34744-5838
Phone (407) 652-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169881FLMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Epilepsy Center Inc Neurology CurrentSince Jan 6, 2025 Accepting new patients
Sentara Medical Group Neurology CurrentSince Jul 24, 2017 Accepting new patients
Sentara Medical Group Neurology PastSince Nov 1, 2020 Accepting new patients
Sentara Hospitals PastSince Nov 1, 2020 Accepting new patients

Locations

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

821 E Oak St
Kissimmee, FL 34744
Phone (407) 652-6000

226 W Michigan St
Ste A
Orlando, FL 32806
Phone (407) 704-8380

2881 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 652-6000

301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bmaton5976@direct.sentara.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1689668832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S SPIGEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541817",
            "telephone_number": "757-416-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065411",
            "telephone_number": "407-652-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATON",
        "first_name": "BRUNO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "234744",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101243229",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "FL",
            "license": "ME169881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.