Active NPI
Brian C. Moraes D.O., P.a.
- Primary Care Clinic/Center
- Boca Raton, FL
National Provider Identifier
1932290749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS7601
- Legal business name
- BRIAN C. MORAES D.O., P.A.
- Practice address
- 9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988 - Phone
- (561) 883-7770
- Fax
- (561) 883-7779
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian C Moraes, DO
- Title
- Owner
- Phone
- (561) 883-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS7601 | FL | Primary |
Addresses
Primary practice location
9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988
Mailing address
9325 Glades Rd
Suite 107
Boca Raton, FL 33434-3988
Phone (561) 883-7770
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130594 | Other | FL | AETNA HMO |
| 258524 | Other | FL | AVMED |
| 38219 | Other | FL | NHP |
| 5501766 | Other | FL | AETNA NON-HMO |
| 7911846 | Other | FL | GHI |
| 44811 | Other | FL | BCBS |
| G06413 | Other | FL | PHCS |
| 9064736001 | Other | FL | CIGNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379462400000",
"number": "1932290749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE 107",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-883-7770",
"fax_number": "561-883-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE 107",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-883-7770",
"fax_number": "561-883-7779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN C. MORAES D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2013-09-18",
"status": "A",
"authorized_official_last_name": "MORAES",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-883-7770",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS7601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2130594",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "258524",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "38219",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "5501766",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7911846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "44811",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "G06413",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9064736001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.