Healthcare Provider Details

I. General information

NPI: 1023972353
Provider Name (Legal Business Name): CHASE RICHMOND BILBREY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 NW FEDERAL HWY
STUART FL
34994-9600
US

IV. Provider business mailing address

1425 SE NAVAJO LN
PORT SAINT LUCIE FL
34983-3147
US

V. Phone/Fax

Practice location:
  • Phone: 863-412-1328
  • Fax:
Mailing address:
  • Phone: 863-412-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9412650
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: