KIM BRAZLEY P.A.
NPI 1407885270
Physician Assistant - Medical in Fort Myers, FL

Q: What is Kim Brazley's NPI number?

The NPI number for Kim Brazley is 1407885270. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Q: What is Kim Brazley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kim Brazley was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2006PECOS Enrolled

1550 BARKLEY CIR, FORT MYERS, FL 33907(239) 938-2000(239) 278-0404 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim Brazley P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM BRAZLEY P.A. (NPI 1407885270) is an individual medical provider in Fort Myers, Florida, licensed in Florida (PA9102785) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cape Coral.

NPPES Registry Identity

NPI1407885270

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIM BRAZLEYCredential: P.A.

Location Address1550 BARKLEY CIRFort Myers, FL 33907-4539

Mailing Address1550 Barkley CirFort Myers, FL 33907-4539 · (239) 938-2000 · Fax (239) 278-0404

Phone(239) 938-2000

Fax(239) 278-0404

Sole ProprietorNo

Enumeration DateJuly 2, 2006

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1407885270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9102785

1550 BARKLEY CIR, Fort Myers, FL 33907

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Secondary Practice Location 1

Location 11002 Country Club BlvdCape Coral, FL 33990-3025 · Phone (239) 938-2000 · Fax (239) 278-0404

Other Identifiers 6

OtherS64042Upin

Other12716838Caqh

OtherY06MRBcbs

Other1858637Cigna

Medicaid107759500FL

OtherP1019612Freedom Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Brazley P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT FRANCIS ALLEN MD

Internal Medicine (Interventional Cardiology)