Organization Active NPI

Brian C. Moraes D.O., P.a.

  • Primary Care Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1932290749
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS7601 Issued in FL
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

Updated by the provider on Sep 18, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2130594OtherFLAETNA HMO
258524OtherFLAVMED
38219OtherFLNHP
5501766OtherFLAETNA NON-HMO
7911846OtherFLGHI
44811OtherFLBCBS
G06413OtherFLPHCS
9064736001OtherFLCIGNA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.