Individual provider Active NPI

Peter Bracha, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Melbourne, FL
National Provider Identifier
1871908889
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME17847 Issued in FL
Practice address
2329 Medico LN Ste 103
Melbourne, FL 32940-8449
Phone
(321) 735-8800
Fax
(321) 690-2288
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD463923 PA
Ophthalmology Physician 207W00000X 47187 IA
Ophthalmology Physician 207W00000X 72615 WI
Ophthalmology Physician 207W00000X 11018097A IN
Retina Specialist (Ophthalmology) Physician 207WX0107X ME17847 FL Primary

Addresses

Primary practice location

2329 Medico LN Ste 103
Melbourne, FL 32940-8449

Mailing address

2329 Medico LN Ste 103
Melbourne, FL 32940-8449
Phone (321) 735-8800

Other practice location 1

280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491
Phone (321) 735-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200728002604 IA Practitioner - Ophthalmology 8921313180 Reassigns benefits to 1 organization
I20250224001633 FL Practitioner - Ophthalmology 8921313180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Retina Specialists, P.a.Group PAC ID 1557581766, 4 clinicians

Practice addresses (Care Compare)

280 N Sykes Creek Pkwy
Suite B
Merritt Island, FL 32953-3491
Phone (321) 735-8800

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47187IAMDOphthalmology Physician
72615WIMDOphthalmology Physician
ME17847FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 10, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 10, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Florida Retina Specialists, P.a. Ophthalmology CurrentSince Apr 14, 2025 Accepting new patients

Locations

2329 Medico Ln
Ste 103
Melbourne, FL 32940
Phone (321) 735-8800

280 N Sykes Creek Pkwy
Ste B
Merritt Island, FL 32953
Phone (305) 555-1212

120 2nd Ave SE
Waukon, IA 52172
Phone (563) 568-3000

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

3400 Civic Center Blvd
#3W
Philadelphia, PA 19104
Phone (215) 615-0063

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: pbracha437549@direct.emplifyhealth.org
  • Direct secure messaging: pbracha925678@direct.unitypoint.org
  • Direct secure messaging: pbracha@frs.intellechartdirect.net

Organizations & group practices 7

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1871908889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 MEDICO LN STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408449",
            "telephone_number": "321-735-8800",
            "fax_number": "321-690-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 MEDICO LN STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408449",
            "telephone_number": "321-735-8800",
            "fax_number": "321-690-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Sykes Creek Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533491",
            "country_code": "US",
            "telephone_number": "321-735-8800",
            "fax_number": "321-735-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACHA",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD463923",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "47187",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "72615",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "11018097A",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME17847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.