# BRAD D. SIMONS, MD,PHD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477806115
- **Authorized official:** DR. BRAD D SIMONS MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (561) 747-3937

## Contact information

- **Practice address:** 2141 ALTERNATE A1A S, SUITE 210, JUPITER, FL 33477
- **Practice address phone:** (561) 747-3937
- **Practice address fax:** (561) 474-7882
- **Mailing address:** 2141 ALTERNATE A1A S, SUITE 210, JUPITER, FL 33477
- **Mailing address phone:** (561) 747-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME76183 | FL | Yes |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 10/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 254313300 | — | FL |
| 01 | — | 43867 | MEDICARE ID | FL |