Individual provider Active NPI

Alice W Brumley, DNP

  • Primary Care Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1942941497
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11015184 Issued in FL
Practice address
777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424
Phone
(561) 297-0502
Fax
(561) 297-0505
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11015184 FL
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APRN11015184 FL Primary

Addresses

Primary practice location

777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424

Mailing address

21575 Kapok Cir
Boca Raton, FL 33433-3718
Phone (561) 462-0622

Other practice location 1

21575 Kapok Cir
Boca Raton, FL 33433-3718
Phone (954) 464-3385

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
I20220519001789 FL Practitioner - Nurse Practitioner 7416334057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

777 Glades Rd
BLDG Az79
Boca Raton, FL 33431-6424
Phone (561) 297-0502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11015184FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctor Nurse for Healthy Aging LLC Gerontology CurrentSince Feb 4, 2024 Accepting new patients
South Palm Beach Health Group PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Florida Atlantic University Single Specialty CurrentSince Apr 9, 2024 Accepting new patients

Locations

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

880 NW 13th St
Ste B
Boca Raton, FL 33486
Phone (561) 361-4075

880 NW 13th St
Ste 2B
Boca Raton, FL 33486
Phone (561) 361-4075

777 Glades Rd
Bldg AZ79
Boca Raton, FL 33431
Phone (561) 297-0502

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1942941497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21575 KAPOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333718",
            "telephone_number": "561-462-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG AZ-79",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-0502",
            "fax_number": "561-297-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21575 Kapok Cir",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333718",
            "country_code": "US",
            "telephone_number": "954-464-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "ALICE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11015184",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11015184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.