Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609869452 Individual Practitioner Male Practitioner

Reginald Dean Locklear , PA

Physician Assistant - Medical • Miami, FL

Professional Overview & Biography Verified Profile Summary

Reginald Locklear, PA is a registered healthcare professional specializing in Physician Assistant - Medical in Miami, FL. Practice services are available at 1610 NE MIAMI GARDENS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1610 Ne Miami Gardens Dr

Miami, FL 331794900

Telephone 3059406061
Fax 3059406167
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
171 Specialists

Practicing in Miami, FL (2836 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-27
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License FL PA9110529

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
021847500 (FL)

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1003255191

Doctor of Medicine (M.D.)

NPI 1033520937

Doctor of Osteopathic Medicine (D.O.)

NPI 1417162488

Doctor of Medicine (M.D.)

Milagros Bague

Pediatrics

NPI 1477524528
NPI 1518967959

Doctor of Medicine (M.D.)

NPI 1629066162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location May 27, 2020

Registered at 1610 NE MIAMI GARDENS DR, MIAMI, FL 331794900 (Tel: 3059406061)

👤
Provider Name / Credentials Updated May 27, 2020

Recorded as REGINALD LOCKLEAR, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2019

Physician Assistant (License #PA9110529 in FL)

📍
Updated Practice Location July 30, 2018

Registered at 4500 SHERIDAN ST, HOLLYWOOD, FL 33021 (Tel: 9549668000)

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 4500 SHERIDAN ST, HOLLYWOOD, FL 330213516 (Tel: 9549668000)

📍
Updated Business Mailing Address March 17, 2018

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 9549668000)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as REGINALD LOCKLEAR, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #102863 in NC)

NPI Profile Active December 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2017

Registered at 4500 SHERIDAN ST, HOLLYWOOD, FL 330213516 (Tel: 9549668000)

📍
Updated Business Mailing Address December 01, 2017

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 9549668000)

👤
Provider Name / Credentials Updated December 01, 2017

Recorded as REGINALD LOCKLEAR, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2017

Physician Assistant (License #102863 in NC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 104 TILGHMAN DR, DUNN, NC 283345510 (Tel: 9198921333)

📍
Updated Business Mailing Address July 08, 2007

Registered at 104 TILGHMAN DRIVE, DUNN, NC 283345510 (Tel: 9198921333)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as REGINALD LOCKLEAR, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #102863 in NC)

🟢
Initial NPI Registration & Enumeration August 26, 2005

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: 1609869452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: May 27, 2020
Sole Proprietor: No

Mailing Address

900 S Pine Island Rd Ste 800

Plantation, FL 333243923

Phone: 3059406016

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.