Active NPI
Brett Bauer
- Community Health Worker
- Pompano Beach, FL
National Provider Identifier
1699176818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 14666
- Practice address
- 2401 NE 2ND St
Pompano Beach, FL 33062-4806 - Phone
- (954) 943-5100
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 14666 | FL | Primary |
Addresses
Primary practice location
2401 NE 2ND St
Pompano Beach, FL 33062-4806
Mailing address
321 Olivewood PL
#121
Boca Raton, FL 33431-6526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14666 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1699176818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 OLIVEWOOD PL",
"address_2": "#121",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 NE 2ND ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330624806",
"telephone_number": "954-943-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "BRETT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "14666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.