Individual provider Active NPI

Loretta L Brestan, MD

  • Trauma Surgery Physician
  • Hudson, FL
National Provider Identifier
1861415812
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
IMLC.MD.70179521 Issued in WA
Practice address
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone
(727) 861-0237
NPI assigned
Jul 25, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019643000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070817000347 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7315039534 Reassigns benefits to 2 organizations
I20071018000206 TX Practitioner - General Surgery 7315039534 Reassigns benefits to 1 organization
I20260504007317 IN Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7315039534 Reassigns benefits to 1 organization

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
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96298FLMDSurgery Physician
01089344AINMDTrauma Surgery Physician
IMLC.MD.70179521WAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince Sep 1, 2021 Accepting new patients
Arlington Physician Services PA Surgery CurrentSince Nov 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
University of Florida Jacksonville Physicians Inc Surgery CurrentSince Aug 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 1, 2024 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 PastSince Dec 6, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/19317/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.