Individual provider Active NPI

Trisha Brutus

  • Medical Physician Assistant
  • North Miami, FL
National Provider Identifier
1942894837
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115072 Issued in FL
Practice address
13370 NE 9TH Ave
North Miami, FL 33161-4114
Phone
(954) 624-2197
NPI assigned
Feb 22, 2021
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9115072 FL Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

13370 NE 9TH Ave
North Miami, FL 33161-4114

Mailing address

13370 NE 9TH Ave
North Miami, FL 33161-4114
Phone (954) 624-2197

Other practice location 1

1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone (954) 580-4001

Other names 1

  • Trisha Brutus Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311001232 FL Practitioner - Physician Assistant 7113312059 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

8931 W Atlantic Blvd
Coral Springs, FL 33071
Phone (754) 225-7033

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1942894837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13370 NE 9TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614114",
            "telephone_number": "954-624-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13370 NE 9TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614114",
            "telephone_number": "954-624-2197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330627514",
            "country_code": "US",
            "telephone_number": "954-580-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUTUS",
        "first_name": "TRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115072",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "BRUTUS",
            "credential": "TRISHA BRUTUS, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.