Individual provider Active NPI

Brett Christopher Brazen, DO

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1770169328
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS21950 Issued in FL
Practice address
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone
(305) 682-7000
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS21950 FL Primary

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180-1407

Mailing address

20900 Biscayne Blvd
Aventura, FL 33180-1407

Other practice location 1

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400

Other practice location 2

3105 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone (941) 271-0021

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000685 FL Practitioner - Dermatology 3779097027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminary Dermatology PAGroup PAC ID 8628301835, 9 clinicians

Practice addresses (Care Compare)

3105 Bobcat Village Ctr Rd
North Port, FL 34288-8974
Phone (941) 926-6553

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions218
Removal or shaving of skin growth1-10
Skin biopsy122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21950FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminary Dermatology, PA Dermatology CurrentSince Aug 1, 2025 Accepting new patients

Locations

819 N Mills Ave
#D
Arcadia, FL 34266
Phone (863) 491-2390

2101 61st St W
Bradenton, FL 34209
Phone (941) 761-4448

925 NE 30th Ter
Ste 308
Homestead, FL 33033
Phone (305) 245-2768

544 Bay Isles Rd
Longboat Key, FL 34228
Phone (941) 225-2258

3105 Bobcat Village Center Rd
North Port, FL 34288
Phone (941) 271-0021

1250 S Tamiami Trl
Ste 304
Sarasota, FL 34239
Phone (941) 263-2988

2032 Hawthorne St
Sarasota, FL 34239
Phone (941) 957-3516

4411 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-3201

1901 Haverford Ave
Sun City Ctr, FL 33573
Phone (813) 422-5533

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1770169328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801407",
            "telephone_number": "305-682-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-355-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Bobcat Village Center Rd",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342888974",
            "country_code": "US",
            "telephone_number": "941-271-0021",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZEN",
        "first_name": "BRETT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS21950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.