DARRELL BRAHAM (DO) – Family Medicine Physician, NPI 1215324470

DARRELL BRAHAM (DO) is a healthcare provider. based in Winter haven, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS13803 (FL). The NPI Number for DARRELL BRAHAM (DO) is 1215324470

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DARRELL BRAHAM (DO)
NPI
1215324470
Phone
(863) 299-2636
Address
550 Pope Ave NW Ste 300
Enumeration Date
24 April 2015
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636447337
Graduation Year
2013 (13 years ago)
PAC ID
1153612239
Group Practice PAC ID
9234554643
Professional Enrollment ID
I20160621000553
Address ID
FL338034574LA3240XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DARRELL BRAHAM (DO)

  • 550 Pope Ave NW Ste 300

    Winter Haven, FL 338814679

    Phone: (863) 299-2636

    Type: Location

  • 4843 SW 19 ST

    FORT LAUDERDALE, FL 33317

    Phone: (954) 494-7945

    Type: Mailing

  • 7031 SW 62 AVENUE

    MIAMI, FL 33143

    Phone: (954) 494-7945

    Type: Location

  • 425 W COLONIAL DR STE 303

    ORLANDO, FL 328046863

    Phone: (321) 332-6947

    Fax: (407) 286-4515

    Type: Mailing

  • 3240 S FLORIDA AVE STE 105

    LAKELAND, FL 338034574

    Phone: (863) 646-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160621000553IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6437$0
36415Insertion of needle into vein for collection of blood sample5430$0
99214Established patient office or other outpatient visit, 30-39 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 33881)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234554643View full group profile
NameSpecialtyState
General PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Family PracticeFL
Family PracticeFL
General PracticeFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DARRELL BRAHAM (DO) for billing?
Administrative and clinical systems typically use NPI 1215324470 for DARRELL BRAHAM (DO).
Should I treat DARRELL BRAHAM (DO) as an active provider?
Patients and plans typically see DARRELL BRAHAM (DO) as active in the national extract.
What services align with DARRELL BRAHAM (DO)'s listing?
DARRELL BRAHAM (DO)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DARRELL BRAHAM (DO)?
DARRELL BRAHAM (DO) is associated with Winter Haven, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

FLAVIO R ARANA (M.D.)

Family Medicine Physician
BOND CLINIC, P.A.
NPI: 1326043274

CHARLES C INMAN (M.D.)

Family Medicine Physician
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1881691350

ROBINSON N KOILPILLAI (M.D.)

Family Medicine Physician
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1861499931

ALEXANDER S MAGNO (M.D.)

Family Medicine Physician
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1518964287

MICHAEL L MOELLER (M.D.)

Family Medicine Physician
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1245237916

JOHN MICHAEL HAM-YING (M.D.)

Family Medicine Physician
1200 DELTONA BLVD APT 40A
NPI: 1780683870

DR. MARY R DE SENA (M.D.)

Family Medicine Physician
635, 1st Street North, Winter Haven, Polk County, Florida, 33881, United States
NPI: 1104819853

DR. CARLOS M ROMERO (M.D.)

Internal Medicine Physician
111 Avenue A SE
NPI: 1356322234

FIDEL ARBOLAEZ (M.D.)

Family Medicine Physician
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
NPI: 1750368973