Bryan Gonzalez, PA-C
NPI 1104688563 · Physician Assistant · Davie, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Gonzalez, PA-C is a Physician Assistant provider in Davie, FL (NPI 1104688563).
Provider details
- NPI number
- 1104688563
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA9118524 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$250 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Bryan Gonzalez's NPI number?
- Bryan Gonzalez's National Provider Identifier (NPI) is 1104688563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Gonzalez's specialty?
- Bryan Gonzalez is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bryan Gonzalez located?
- Bryan Gonzalez's practice location on file with NPPES is 4765 Sw 148th Ave Ste 404, Davie, FL 33330-2128.
- What is Bryan Gonzalez's phone number?
- The practice phone number listed in the NPPES registry for Bryan Gonzalez is (954) 374-7545.
- Does Bryan Gonzalez accept Medicare?
- Bryan Gonzalez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryan Gonzalez's NPI active?
- Yes — Bryan Gonzalez's NPI (1104688563) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.