Individual provider Active NPI

Bruno Koch Da Silva, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1780062414
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME136540 Issued in FL
Practice address
7867 N Kendall Dr Ste 130
Miami, FL 33156-7736
Phone
(305) 598-1555
Fax
(305) 598-1155
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME136540 FL Primary

Addresses

Primary practice location

7867 N Kendall Dr Ste 130
Miami, FL 33156-7736

Mailing address

7867 N Kendall Dr Ste 130
Miami, FL 33156-7736
Phone (305) 598-1555

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
I20190301001094 FL Practitioner - Family Practice 0446548747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

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.

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1780062414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 N KENDALL DR STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567736",
            "telephone_number": "305-598-1555",
            "fax_number": "305-598-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7867 N KENDALL DR STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567736",
            "telephone_number": "305-598-1555",
            "fax_number": "305-598-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "BRUNO",
        "middle_name": "KOCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.