BRYAN HENNES (NPI# 1861654758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861654758 |
| Entity Type | Individual |
| Full Name | BRYAN HENNES |
| Credential | ARNP |
| Practice Address |
1601 N Palm Ave Suite 109 Pembroke Pines FL 33026-3200 |
| Practice Telephone | 9544321511 |
| Practice Fax Number | 9544325195 |
| Mailing Telephone | 9544321511 |
| Mailing Fax Number | 9544325195 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9175755 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 N PALM AVE SUITE 109 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646966 | Juan Carlos Rodriguez | Internal Medicine | 1601 N Palm Ave, Suite 109, Pembroke Pines, FL 33026-3240 | 2005-08-12 |
| 1740638717 | Greenlife Intensive Outpatient Program, LLC | Clinic/Center | 1601 N Palm Ave, Suite 106, Pembroke Pines, FL 33026-3200 | 2016-05-31 |
| 1609244128 | Svm Counseling Corp. | Social Worker | 1601 N Palm Ave, Suite 311c, Pembroke Pines, FL 33026-3200 | 2015-09-15 |
| 1952784225 | Carmen Cornide, Psy.d., P.a. | Psychologist | 1601 N Palm Ave, Suite 300, Pembroke Pines, FL 33026-3200 | 2015-07-06 |
| 1760864219 | Addys Prieto Psyd Pa | Psychologist | 1601 N Palm Ave, Suite 300, Pembroke Pines, FL 33026-3200 | 2015-06-22 |
| 1588057475 | Suzanne Milano | Social Worker | 1601 N Palm Ave, Suite 311c, Pembroke Pines, FL 33026-3200 | 2015-03-17 |
| 1841628864 | Alejandro Del Calvo | Counselor | 1601 N Palm Ave, Pembroke Pines, FL 33026-3200 | 2013-10-30 |
| 1003175308 | Efrain Mendez, Md Pa | Psychiatry & Neurology | 1601 N Palm Ave, Suite 110a, Pembroke Pines, FL 33026-3200 | 2012-05-08 |
| 1235423120 | Jeanne-elyse Cedeno M.d., P.a. | Family Medicine | 1601 N Palm Ave, Suite 102-b, Pembroke Pines, FL 33026-3200 | 2011-06-08 |
| 1891015830 | Austin Mautner | Dentist | 1601 N Palm Ave, Ste #104, Pembroke Pines, FL 33026-3200 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243065 | Soja Juby | Nurse Practitioner | 19380 Sw 14th St, Pembroke Pines, FL 33029-6121 | 2020-04-10 |
| 1184104945 | Adilen Esquivel | Nurse Practitioner | 9730 Nw 3rd St, Pembroke Pines, FL 33024-6208 | 2018-08-20 |
| 1841734522 | Michelle D. Frazier | Nurse Practitioner | 15837 Sw 16th St, Pembroke Pines, FL 33027-2367 | 2016-12-14 |
| 1124457940 | Andrea Mohammed-minto | Nurse Practitioner | 612 Sw 158th Ter, Pembroke Pines, FL 33027-1134 | 2013-11-02 |
| 1770916975 | Natasha R Rose | Nurse Practitioner | 1330 Nw 192 Lane, Pembroke Pines, FL 33029 | 2013-08-12 |
| 1831469477 | Eva Mireille Jacques | Nurse Practitioner | 388 Sw 163rd Ave, Pembroke Pines, FL 33027-1084 | 2012-01-11 |
| 1902182603 | Charles Joseph Berniol | Nurse Practitioner | 8750 Nw 11th Ct, Pembroke Pines, FL 33024-4709 | 2011-10-25 |
| 1801032834 | Shirelle Elain Washington | Nurse Practitioner | 15822 Sw 14th St, Pembroke Pines, FL 33027-2361 | 2008-12-22 |
| 1285804682 | Ruth Tan Catignas | Nurse Practitioner | 501 Nw 179 Avenue, Doctors Plus Medical Centers, Pembroke Pines, FL 33029 | 2008-03-03 |
| 1104018589 | Urairong Rattanakorn | Nurse Practitioner | 14001 Nw 4th St, #202, Pembroke Pines, FL 33028-2297 | 2007-08-09 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on BRYAN HENNES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.