Active NPI
Matthew Edward Brice, D.O.
- Diagnostic Radiology Physician
- Melbourne, FL
National Provider Identifier
1992064406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS15923
- Practice address
- 1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624 - Phone
- (321) 726-3800
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1070 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | OS15923 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 1070 | NE |
Addresses
Primary practice location
1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-2725
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1070 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kan-Di-Ki, LLC | Current | Accepting new patients | |
| American Diagnostics Services LLC | Past | Accepting new patients |
Locations
4400 140th Ave N
Ste 200
Clearwater, FL 33762
Phone (727) 443-0389
4400 140th Ave N
Ste 200230
Clearwater, FL 33762
Phone (727) 443-0389
Networks
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- North Hollywood, CA
- NPI 1750364345
FL
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
FL
-
- Diagnostic Ultrasound Physician
- North Hollywood, CA
- NPI 1548422488
-
- Physiological Laboratory
- Hunt Valley, MD
- NPI 1487954913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1992064406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W HIBISCUS BLVD STE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012624",
"telephone_number": "321-726-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICE",
"first_name": "MATTHEW",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "1070",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS15923",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "1070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.