Organization Active NPI

Bransgrove & Associates PA

  • Optometrist
  • Sunrise, FL
National Provider Identifier
1922040252
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRANSGROVE & ASSOCIATES PA
Practice address
10284 NW 47TH St
Sunrise, FL 33351
Phone
(305) 661-2724
Fax
(954) 575-0000
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Richard W Bransgrove, O.D.NPI 1841234861
Title
Owner
Phone
(305) 661-2724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10284 NW 47TH St
Sunrise, FL 33351

Mailing address

10284 NW 47TH St
Sunrise, FL 33351-7967
Phone (305) 661-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000756 FL Part B Supplier - Clinic/Group Practice 6305898792 Receives reassigned benefits from 3 practitioners

National Provider Directory

National Provider Directory

Locations

19590 Old Cutler Rd
Cutler Bay, FL 33157
Phone (786) 466-3500

13000 SW Tradition Pkwy
#R
Port St Lucie, FL 34987
Phone (772) 241-6132

5101 W Blue Heron Blvd
#J
Riviera Beach, FL 33418
Phone (561) 842-6111

2440 Citrus Blossom Cir
Vero Beach, FL 32966
Phone (772) 562-8700

4450 N Australian Ave
#J
West Palm Beach, FL 33407

301 Northpoint Pkwy
West Palm Beach, FL 33407
Phone (561) 640-2964

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1922040252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "305-661-2724",
            "fax_number": "954-575-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "305-661-2724",
            "fax_number": "954-575-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANSGROVE & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANSGROVE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-661-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.