Individual provider Active NPI

Jonathan David Bratter, D.O.

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1891904850
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS10170 Issued in FL
Practice address
1951 SW 172ND Ave
Suite 203
Miramar, FL 33029-5593
Phone
(954) 538-1011
Fax
(954) 447-2098
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2018-02345 NC
Obstetrics & Gynecology Physician 207V00000X OS10170 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave
Suite 203
Miramar, FL 33029-5593

Mailing address

1951 SW 172ND Ave
Suite 203
Miramar, FL 33029-5593
Phone (954) 538-1011

Other practice location 1

141 Shawneehaw Ave South
Banner Elk, NC 28604
Phone (828) 357-7314

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.bratter@whosb.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20080102000603 FL Practitioner - Obstetrics/Gynecology 9436239589 Reassigns benefits to 1 organization
I20230912002371 NC Practitioner - Obstetrics/Gynecology 9436239589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Nova Southeastern College of Osteo Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Jonathan Bratter, DO Facog PAGroup PAC ID 2668833856, 2 clinicians
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

141 Shawneehaw Ave
Banner Elk, NC 28604-9707
Phone (828) 357-7314

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-02345NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2009 Accepting new patients
Jonathan Bratter, DO Facog PA CurrentSince Jul 5, 2023 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 200
Miramar, FL 33029
Phone (305) 330-6692

1951 SW 172nd Ave
Ste 203
Miramar, FL 33029
Phone (954) 499-2505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFGGBD/Endpoint/GFGGBD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1891904850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-538-1011",
            "fax_number": "954-447-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-538-1011",
            "fax_number": "954-447-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Shawneehaw Ave South",
            "address_purpose": "LOCATION",
            "city": "Banner Elk",
            "state": "NC",
            "postal_code": "28604",
            "country_code": "US",
            "telephone_number": "828-357-7314",
            "fax_number": "828-372-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATTER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-02345",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS10170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.bratter@whosb.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1951 SW 172nd Ave",
            "address_2": "suite 203",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330295593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.