Doctor profile · Federal record
Dr. Bryan Gonzalez, PA-C
Physician Assistant · Davie, FL
- NPI 1104688563
- Accepts Medicare
- 3 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4765 Sw 148Th Ave Ste 404
Davie, FL 333302128
(954) 374-7545
fax (954) 374-7543
Credentials & registration
- NPI registered
- January 2024 — 2 yrs on file
- Profile last updated
- August 11, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PA9118524
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104688563. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$250
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tactile Systems Technology INC | 2 | $229.88 | |
| Tactile Systems Technology INC | 1 | $20.00 |
By nature of payment
Frequently asked questions
What is Dr. Bryan Gonzalez's medical specialty?
Dr. Bryan Gonzalez practices Physician Assistant in Davie, FL.
Where does Dr. Bryan Gonzalez practice?
Dr. Bryan Gonzalez practices at 4765 Sw 148Th Ave Ste 404, Davie, FL 333302128. Office phone: 9543747545.
What is Dr. Bryan Gonzalez's NPI?
Dr. Bryan Gonzalez's National Provider Identifier (NPI) is 1104688563, issued by NPPES.
Does Dr. Bryan Gonzalez accept Medicare assignment?
Yes. Dr. Bryan Gonzalez accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.