Individual provider Active NPI

Brett A. Osborn, DO

  • Neurological Surgery Physician
  • Jupiter, FL
National Provider Identifier
1932104049
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS8838 Issued in FL
Practice address
600 Heritage Dr
Suite 105
Jupiter, FL 33458-3000
Phone
(561) 935-9233
NPI assigned
Jun 15, 2005
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X OS8838 FL Primary
Neurological Surgery Physician 207T00000X 2348 WV

Addresses

Primary practice location

600 Heritage Dr
Suite 105
Jupiter, FL 33458-3000

Mailing address

600 Heritage Dr
Suite 105
Jupiter, FL 33458-3000
Phone (561) 935-9233

Other identifiers 6

IdentifierTypeStateIssuer
7446981OtherWVCIGNA
3003369MedicaidOH
613918805OtherWVBLACK LUNG/FEC
000000287951OtherOHUNISON
3810014250MedicaidWV
267635400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000319 FL Practitioner - Neurosurgery 2163314915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1620 Southern Blvd
Unit 1
West Palm Beach, FL 33406-3242
Phone (561) 935-9233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
946WVMDMental Health Counselor
OS8838FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Health Florida, LLC Neurological Surgery CurrentSince Feb 22, 2022 Accepting new patients
Expert Neurosurgical Services LLC Neurological Surgery CurrentSince Oct 30, 2018 Accepting new patients
South Florida Trauma and Acute Care Surgery PLLC PastSince Feb 22, 2022 Accepting new patients
Aventura Neurosurgery LLC Neurological Surgery Past Accepting new patients
Tri State Neuroscience Center Inc Neurological Surgery Past Accepting new patients
Aventura Neurosurgery LLC Neurological Surgery Past Accepting new patients
St Mary's Hospitalist Services, LLC PastSince Jul 1, 2014 Accepting new patients

Locations

600 Heritage Dr
Ste 105
Jupiter, FL 33458
Phone (561) 935-9233

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1620 Southern Blvd
West Palm Beach, FL 33406
Phone (561) 799-9559

1620 Southern Blvd
Unit 1
West Palm Beach, FL 33406
Phone (561) 935-9233

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1932104049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-935-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-935-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "BRETT",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS8838",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "2348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7446981",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003369",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FEC",
            "identifier": "613918805",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000287951",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014250",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267635400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.