Individual provider Active NPI

Brent Antonio Munroe, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Summerfield, FL
National Provider Identifier
1902117922
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME146688 Issued in FL
Practice address
17270 SE 109TH Terrace Rd
Summerfield, FL 34491-9015
Phone
(352) 633-7222
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME146688 FL Primary

Addresses

Primary practice location

17270 SE 109TH Terrace Rd
Summerfield, FL 34491-9015

Mailing address

4500 Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, NM3 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
I20200831000098 FL Practitioner - Orthopedic Surgery 7113230533 Reassigns benefits to 1 organization
I20221219000029 TX Practitioner - Orthopedic Surgery 7113230533 Reassigns benefits to 1 organization
I20241119002784 NM Practitioner - Orthopedic Surgery 7113230533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehoboth McKinley Christian Health Care Services, Inc.Group PAC ID 1759293855, shared by 3 NPIs, 31 clinicians

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as group
Quality
61.12
Improvement activities
40
Cost
81.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Nov 7, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 24, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Orthopaedic Surgery CurrentSince Nov 7, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Current Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Apr 24, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. CurrentSince Dec 16, 2024 Accepting new patients

Locations

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1850 E Historic Highway 66
Ste I
Gallup, NM 87301

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 6

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 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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1902117922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919015",
            "telephone_number": "352-633-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNROE",
        "first_name": "BRENT",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME146688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.