Provider Demographics
NPI:1659699460
Name:BROPHY, JOSEPH PETER (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PETER
Last Name:BROPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S FEDERAL HWY STE 302
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6058
Mailing Address - Country:US
Mailing Address - Phone:561-509-9382
Mailing Address - Fax:561-509-9362
Practice Address - Street 1:1200 S FEDERAL HWY STE 302
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6058
Practice Address - Country:US
Practice Address - Phone:561-509-9382
Practice Address - Fax:561-509-9362
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32551207Q00000X
CT54678207Q00000X
FLME167163208VP0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine