Active NPI
Brett S Levine, DO
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1902161573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UO3038
- Practice address
- 2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443 - Phone
- (727) 797-3155
- Fax
- (727) 797-4301
- NPI assigned
- Jul 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO3038 | FL | Primary |
Addresses
Primary practice location
2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Mailing address
2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Phone (727) 797-3155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012768800 | Medicaid | FL |
Other names 1
- Brett S Levine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3038 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levmed LLC | Past | Accepting new patients |
Interoperability endpoints
- brett.levine@90644685848580.direct.elationemr.com
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.
-
- Primary Care Clinic/Center
- Saint Petersburg, FL
- NPI 1356829113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1902161573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 SUNSET POINT RD",
"address_2": "SUITE C",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651443",
"telephone_number": "727-797-3155",
"fax_number": "727-797-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SUNSET POINT RD",
"address_2": "SUITE C",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651443",
"telephone_number": "727-797-3155",
"fax_number": "727-797-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "BRETT",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO3038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012768800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRETT",
"last_name": "LEVINE",
"middle_name": "S",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.