Active NPI
Loretta L Brestan, MD
- Trauma Surgery Physician
- Hudson, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- IMLC.MD.70179521
- Practice address
- 14100 Fivay Rd Ste 340
Hudson, FL 34667-7181 - Phone
- (727) 861-0237
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME96298 | FL | |
| Trauma Surgery Physician | 2086S0127X | IMLC.MD.70179521 | WA | Primary |
| Trauma Surgery Physician | 2086S0127X | 01089344A | IN | |
| Trauma Surgery Physician | 2086S0127X | ME96298 | FL |
Addresses
Primary practice location
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Mailing address
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone (727) 861-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019643000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
7900 W Jefferson Blvd
Suite 306
Fort Wayne, IN 46804-4128
Phone (260) 458-3610
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96298 | FL | MD | Surgery Physician |
| 01089344A | IN | MD | Trauma Surgery Physician |
| IMLC.MD.70179521 | WA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Arlington Physician Services PA | Surgery | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Surgery | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Muskogee Medical Group PLLC | Past | Accepting new patients | |
| Southeast Surgical Associates, P.a. | Surgery | Past | Accepting new patients |
| Health First Medical Group, LLC | Past | Accepting new patients | |
| The Surgery Group PA | Surgery | Past | Accepting new patients |
| Surgical Consultants of Muskogee PC | Past | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
1600 SW Archer Rd
#100109
Gainesville, FL 32610
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
#101
Melbourne, FL 32901
Phone (321) 434-1401
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/19317/brand/1/csg/1/fhir/r4
- loretta.brestan@hca5.eclinicaldirectplus.com
Organizations & group practices 12
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.
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
Surgery
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Surgery
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1831738392
-
- Surgery Physician
- Pensacola, FL
- NPI 1902898802
-
- Surgery Physician
- San Antonio, TX
- NPI 1821008939
-
- Specialist
- Muskogee, OK
- NPI 1912032335
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1861415812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 FIVAY RD STE 340",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677181",
"telephone_number": "727-861-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 FIVAY RD STE 340",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677181",
"telephone_number": "727-861-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESTAN",
"first_name": "LORETTA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME96298",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WA",
"license": "IMLC.MD.70179521",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IN",
"license": "01089344A",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME96298",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019643000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.