Marcos Alfonso Bracero, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9191326 Issued in FL

Practice address

5150 NW Milner Dr
Port St Lucie, FL 34983-3392

Phone

(772) 873-4954

Fax

(772) 873-4954

NPI assigned

Apr 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, shared by 68 NPIs, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Okeechobee, FL
  • NPI 1407816226
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Fort Pierce, FL
  • NPI 1649329236
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Treasure Coast Senior Care LLC

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1750258307
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1992022602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-873-4954",
            "fax_number": "772-873-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-873-4954",
            "fax_number": "772-873-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERO",
        "first_name": "MARCOS",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9191326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004715200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP ID",
            "identifier": "ARNP9191326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bower Urology LLC
• Kayla Christine Bowers
• Patrick Thomas Boyer
• Natalie Boyland, DC
• Kristina M Boyle
• Judith Watson Bradfield, MD
• Jill Kristen Bradford, MSED, ATC, LAT
• Brian Brady, O.T.
• Karen Branscomb
• Allison Delores Brathwaite Delpesche, DNP

• Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.