Individual provider Active NPI

Brent Alan Sanders, DC, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1700831476
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7082 Issued in GA
Practice address
4510 Donald Ross Rd
Palm Beach Gardens, FL 33418-6783
Phone
(910) 691-1853
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2246 SC
Physician Assistant 363A00000X 7082 GA Primary

Addresses

Primary practice location

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418-6783

Mailing address

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418-6783
Phone (910) 691-1853

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brent.sanders@sep.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519001828 FL Practitioner - Physician Assistant 2062642424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Practice addresses (Care Compare)

111 SE Osceola St
Suite 100
Stuart, FL 34994-2114
Phone (867) 724-6807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
71.03
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7082GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Dec 16, 2023 Accepting new patients
Georgia Primary Care Partners, LLC Current Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

111 SE Osceola St
Ste 201
Stuart, FL 34994

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

Interoperability endpoints

  • Direct secure messaging: brent.sanders.1@30104.direct.athenahealth.com
  • Direct secure messaging: brent.sanders@sep.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1700831476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DONALD ROSS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186783",
            "telephone_number": "910-691-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 DONALD ROSS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186783",
            "telephone_number": "910-691-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "credential": "DC, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2246",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.sanders@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4510 Donald Ross Rd",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334186783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.