Provider Type Icon

BRAD D. SIMONS MDPHD PA NPI 1477806115


NPI Information

NPI: 1477806115
Provider Name: BRAD D. SIMONS, MD,PHD, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2171592

Address:
2141 ALTERNATE A1A S
SUITE 210
JUPITER, FL
ZIP 33477
Phone: (561) 747-3937
Get Directions

BRAD D. SIMONS, MD,PHD, PA is an ophthalmology in Jupiter, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. BRAD D. SIMONS, MD,PHD, PA NPI is 1477806115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2141 ALTERNATE A1A S
SUITE 210
JUPITER, FL
ZIP 33477
Phone: (561) 747-3937
Fax: (561) 474-7882

The provider's authorized official is Brad D Simons .
The authorized official title is Physician/owner and has the following contact phone number (561) 747-3937.

The CLIA number assigned to this NPI record is 10D2171592 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2012 and was last updated on 10/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyME76183FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
143867MEDICARE PINFLORIDA
2G80778MEDICARE UPINFLORIDA
3254313300MEDICAIDFLORIDA
443867OTHERFLORIDAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.