Active NPI
Brad Tucker
- Case Manager/Care Coordinator
- Boca Raton, FL
National Provider Identifier
1891407144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 7025 Beracasa Way Ste 202a
Boca Raton, FL 33433-3459 - Phone
- (561) 765-7960
- NPI assigned
- Dec 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Adult Companion | 372600000X |
Addresses
Primary practice location
7025 Beracasa Way Ste 202a
Boca Raton, FL 33433-3459
Mailing address
7025 Beracasa Way Ste 202a
Boca Raton, FL 33433-3459
Phone (561) 765-7960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30212454 | Other | FL | FLORIDA NURSE REGISTRY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cs@seniorpros.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Pros, Inc. | Current | Accepting new patients |
Locations
7025 Beracasa Way
Ste 202A
Boca Raton, FL 33433
Phone (561) 765-7960
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.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1558073809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1891407144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 BERACASA WAY STE 202A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333459",
"telephone_number": "561-765-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 BERACASA WAY STE 202A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333459",
"telephone_number": "561-765-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BRAD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA NURSE REGISTRY LICENSE",
"identifier": "30212454",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cs@seniorpros.net",
"affiliation": "N",
"endpointDescription": "company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7025 Beracasa Way Ste 202A",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334333459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.