Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104688563 Individual Practitioner Male Practitioner

Bryan Gonzalez , PA-C

Physician Assistant • Davie, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bryan Gonzalez, PA-C is a certified Physician Assistant practicing in Davie, FL. With approximately 3 years of clinical experience since completing medical education in 2023, Bryan Gonzalez delivers high-quality medical care to the local community at 4765 SW 148TH AVE STE 404.

Bryan Gonzalez is affiliated with Personalized Medicine Institute Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4765 Sw 148th Ave Ste 404

Davie, FL 333302128

Telephone 9543747545
Fax 9543747543
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Davie, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -1.8 yrs vs City Avg
City Avg: 4.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
53 Specialists

Practicing in Davie, FL (10376 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzalez (3 Years) 3 Yrs
Davie Specialty Average (4.8 Years) 4.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9118524

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Personalized Medicine Institute Llc

4765 Sw 148th Ave, Davie, FL 333302128

Phone: 9543747545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Maximo Fernandez , MD

Internal Medicine - Cardiovascular Disease

NPI 1215119185

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 11, 2025

Registered at 4765 SW 148TH AVE STE 404, DAVIE, FL 333302128 (Tel: 9543747545)

📍
Updated Business Mailing Address August 11, 2025

Registered at 4765 SW 148TH AVE STE 404, DAVIE, FL 333302128 (Tel: 9543747545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Physician Assistant (License #PA9118524 in FL)

NPI Profile Active January 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2024

Registered at 1731 SW 85TH CT, MIAMI, FL 331551046 (Tel: 7869735119)

📍
Updated Business Mailing Address January 30, 2024

Registered at 1731 SW 85TH CT, MIAMI, FL 331551046 (Tel: 7869735119)

👤
Provider Name / Credentials Updated January 30, 2024

Recorded as BRYAN GONZALEZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104688563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2024
Last Update: August 11, 2025
Sole Proprietor: Yes

Mailing Address

4765 Sw 148th Ave Ste 404

Davie, FL 333302128

Phone: 9543747545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.