Active NPI
Dmitriy Breydburd, M.D.
- Anesthesiology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME145644
- Practice address
- 7800 Sheridan St
Pembroke Pines, FL 33024-2536 - Phone
- (954) 962-9650
- NPI assigned
- Jun 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME145644 | FL | Primary |
Addresses
Primary practice location
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Mailing address
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dbreydburd@MHSDIRECT.net | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110000866 | FL | Practitioner - Anesthesiology | 4789980301 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Anesthesiology of Florida IncTenet Florida Physician Services LLC
Practice addresses (Care Compare)
21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (866) 507-5244
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440
Hospital & facility affiliations
- Delray Medical Center
- West Boca Medical Center
- Boca Raton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145644 | FL | MD | Anesthesiology Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Anesthesiology | Current | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
9970 Central Park Blvd N
Boca Raton, FL 33428
Phone (561) 482-9765
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
3475 Sheridan St
Ste 104
Hollywood, FL 33021
Phone (754) 888-5867
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- dbreydburd256244@mhsdirect.net
- dbreydburd19424@jupitermedicalcenter.direct-ci.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1679592893
Anesthesiology, FL
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Anesthesiology, FL
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1760741797
Anesthesiology
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1780948281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242536",
"telephone_number": "954-962-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242536",
"telephone_number": "954-962-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREYDBURD",
"first_name": "DMITRIY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME145644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "dbreydburd@MHSDIRECT.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hospital",
"address_1": "7800 Sheridan St",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330242536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.