Active NPI
Brandon Edward Locklear, M.D.
- Obstetrics & Gynecology Physician
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME132159
- Practice address
- 550 E State Road 434
Longwood, FL 32750-5222 - Phone
- (407) 635-3026
- Fax
- (321) 203-4614
- NPI assigned
- May 20, 2008
- Last updated
- May 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME132159 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 200800781 | NC |
Addresses
Primary practice location
550 E State Road 434
Longwood, FL 32750-5222
Mailing address
550 E State Road 434
Longwood, FL 32750-5222
Phone (407) 635-3026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909548 | Medicaid | NC | |
| 2022368 | Other | MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Brody School of Medicine at East Carolina University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200800781 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
550 E State Road 434
Longwood, FL 32750
Phone (407) 262-5710
550 E State Road 434
Fl 2
Longwood, FL 32750
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
4401 S Orange Ave
Ste 113
Orlando, FL 32806
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- blocklear26578@orlandohealth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1740447531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-635-3026",
"fax_number": "321-203-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-635-3026",
"fax_number": "321-203-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "BRANDON",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME132159",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "200800781",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909548",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2022368",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
- Little Angels Pediatric Extended Care LLC (Little Angels PPEC)
- Little Angels Pediatric Extended Care LLC (Little Angels PPEC)
- Live Well Natural Medicine
- Jansen Mendoza Liwanag, RPH
- Jarod Llewellyn
- Katherine Lombardo
- Anna Lommerse, RMHCI
- Teresa Marina Long, LMT
- Longboat Counseling Services LLC
- Longwood Anesthesiology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.