Breathe Free Sinus & Allergy Centers of Florida LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BREATHE FREE SINUS & ALLERGY CENTERS OF FLORIDA LLC

Practice address

4601 Spanish TRL
Pensacola, FL 32504-5039

Phone

(850) 990-9407

Fax

(805) 842-2648

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Alicia Brosius

Title

Administrator

Phone

(805) 210-5491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Lewis Blair, D.O.

  • Otolaryngology Physician
  • Pensacola, FL
  • NPI 1437461878
  Medicare reassignment Care Compare group NPD
• Mariah Barker Pate, MD

  • Otolaryngology Physician
  • Saint Petersburg, FL
  • NPI 1700140639
  Medicare reassignment Care Compare group NPD
• Vijay M Sharma, MD

  • Facial Plastic Surgery Physician
  • Jupiter, FL
  • NPI 1356595268
  Medicare reassignment Care Compare group NPD
• Cody Boyd Aull, D.O.

  • Otolaryngology Physician
  • West Palm Beach, FL
  • NPI 1619150349
  Medicare reassignment NPD
• Jessica Gilson, PA

  • Physician Assistant
  • Norwalk, CT
  • NPI 1972045375

  FL

  Medicare reassignment

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1952978124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045039",
            "telephone_number": "805-210-5491",
            "fax_number": "805-842-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045039",
            "telephone_number": "850-990-9407",
            "fax_number": "805-842-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 54th Ave N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337142414",
            "country_code": "US",
            "telephone_number": "727-231-5584",
            "fax_number": "727-495-0769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Flagler Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013430",
            "country_code": "US",
            "telephone_number": "561-513-6342",
            "fax_number": "561-513-6343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 University Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582788",
            "country_code": "US",
            "telephone_number": "561-277-0699",
            "fax_number": "561-939-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREATHE FREE SINUS & ALLERGY CENTERS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "BROSIUS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-210-5491"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark T Braxton, D.M.D.
• Sadie Elizabeth Braxton, CRNA
• Angela B Bray, PA-C
• John M Bray, M.D.
• Scot Allen Brazell, CRNA
• Janet Breaux
• Alysha Lynn Bredemus, MD
• Alaina Marie Brennan
• Brian P Brennan, DC
• Frances Elaine Brennan, M.D.

• Otolaryngology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.