Specializing in Brokerage of
Medical Real Estate
Nationwide
Premier commercial real estate brokerage for physicians, dentists, and medical practice owners. Investment sale, sale-leaseback, 1031 exchange, and portfolio management — nationwide.
- 30+
- Years Combined Experience
- $500M+
- In Transactions Closed
- 200+
- Medical Properties Sold
- 50+
- States Served Nationwide
Welcome to TheSREG
Your Dedicated Medical Real Estate Partner
Supreme Real Estate Group is a premier commercial real estate brokerage specializing in physician, dental, and behavioral health properties nationwide. Led by Brett Pyka and Francesco Tommaso, our team brings over three decades of combined industry knowledge to every transaction.
We understand that for most physicians, your practice real estate represents one of the largest financial decisions of your career. Our guidance has helped practice owners from solo physicians to large corporate-leased medical groups unlock equity, structure favorable leases, and build lasting wealth through strategic real estate decisions.
TheSREG has extensive experience in the sale, lease, sale-leaseback, and refinancing of medical real estate across multiple healthcare sectors. Our creative approach in structuring the right deal makes us your best option when considering a real estate change.
Physician, Dental & Behavioral Health Real Estate
Our Services
We have been assisting medical practice real estate owners with their properties for over a decade. Our team has years of professional experience in the following services.
Investment Sale
We specialize in the sale of corporate-leased physician and medical practice properties. Focused entirely on the healthcare real estate market, we deliver up-to-date market intelligence and work individually with each client to maximize return on investment.
Lease & Sale-Leaseback
Whether you want to improve cash flow or free up capital to grow your practice, our team structures sale-leaseback transactions that allow you to monetize your real estate while remaining in your facility under a long-term lease.
Private Business Consultation
There is much to consider before deciding the time is right to sell your medical practice real estate. Our specialists have the industry knowledge and nationwide experience to guide you through a successful exit.
Buy-Side Representation
We work closely with physician-investors to help them acquire medical office and healthcare properties. Our specialized brokers help you avoid pitfalls and negotiate winning deals on your behalf.
Finance & Refinance
Refinance your existing commercial medical property to increase cash flow, or explore new financing options when pursuing an acquisition. We connect you with lenders who specialize in healthcare real estate.
1031 Exchange
When you are ready to sell your medical practice real estate, a 1031 Tax Deferred Exchange allows you to reinvest proceeds and defer capital gains taxes — preserving your hard-earned equity for the next investment.
Portfolio Management
Real estate investing goes beyond buying and selling. Our portfolio managers focus on safeguarding your present and future financial goals through sound, unbiased advice and strategic planning tailored to physician-investors.
Why Choose TheSREG
Built Exclusively for Medical Practice Owners
Unlike generalist brokers, TheSREG focuses exclusively on healthcare real estate. We speak your language — cap rates, NNN leases, sale-leasebacks, and 1031 exchanges — and we understand the unique dynamics of physician-owned properties.
Niche Expertise
We work exclusively with physicians, dentists, and medical practice owners. Our entire team is trained in healthcare real estate — not residential, not retail, not industrial.
Nationwide Reach
With active transactions across all 50 states, we bring a national buyer pool and market intelligence that local brokers simply cannot match.
Physician-First Approach
We recognize that your practice is your life's work. Every transaction is handled with the discretion, precision, and care that your investment deserves.
The People Behind the Deals
Meet Our Team
Get to know the people that make Supreme Real Estate Group extraordinary.
Francesco Tommaso
Co-Founder, Principal Broker
Francesco has successfully founded and acted as CEO of several multi-million dollar businesses including restaurants, real estate, and software companies. He brings a visionary approach to every transaction.
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Brett Pyka
Co-Founder, Commercial Real Estate Advisor
Brett brings over 17 years of commercial real estate expertise. An outside-the-box thinker focused on goal setting and problem solving, he founded his first commercial real estate investment company in 2007.
View Profile— Brett Pyka (opens in a new tab)
Sofia Jean-Baptiste
Commercial Real Estate Advisor
Sofia helps clients buy, sell, and rent properties with a commitment to 100% satisfaction. She manages every step from negotiation to closing with precision and care.
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Morgan Walter
Commercial Real Estate Advisor
A lifelong Hampton Roads resident, Morgan has deep regional knowledge and is committed to helping business owners and investors maximize their opportunities in the market.
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Dorian Tommaso
Commercial Real Estate Advisor
Dorian specializes in applying market research and quantitative analysis to identify commercial opportunities. His Economics background from JMU and data certifications provide a sophisticated, data-driven perspective.
View Profile— Dorian Tommaso (opens in a new tab)
Client Testimonials
What Physicians Say
Brett and his team at SREG were exceptional. Their deep understanding of medical real estate allowed us to structure a sale-leaseback that freed up significant capital while keeping our practice exactly where it needed to be.
I had no idea how much equity was sitting in my dental practice building. SREG walked me through the entire process — from valuation to closing — with complete professionalism. The 1031 exchange strategy they recommended was brilliant.
As a physician-investor, I needed a team that spoke my language. SREG understood both the clinical and financial sides of healthcare real estate. They helped me acquire two NNN-leased medical properties that now generate passive income I can count on.
The team at Supreme Real Estate Group handled the sale of our behavioral health facility with discretion and expertise. Their market knowledge and negotiation skills delivered a result that exceeded our expectations.
Insights & Education
From Our Desk
Expert perspectives on medical real estate, tax strategy, and building long-term wealth as a physician.
Why Physicians Are Investing in Commercial Real Estate Instead of the Stock Market
Discover why more physicians are moving capital out of volatile markets and into commercial real estate for stable, tax-advantaged returns.
Read Article
Why Commercial Real Estate and the Tax Code Are Aligned by Design
The tax code was written to reward commercial real estate investors. Learn how depreciation, 1031 exchanges, and cost segregation work together.
Read Article
The Benefits of Investing in Commercial vs Residential Real Estate
Why savvy investors — especially medical professionals — choose commercial over residential: higher yields, longer leases, and less management.
Read Article
The Benefits of Investing in Commercial Real Estate for Long Term Wealth
Commercial real estate offers cash flow, appreciation, and tax benefits that compound over decades — a cornerstone of generational wealth.
Read Article
In Times of Uncertainty, Commercial Real Estate Remains the Most Productive Investment Choice
When markets are volatile, hard assets like commercial real estate provide stability, income, and long-term value preservation.
Read Article
The One Big Beautiful Bill Act: How High-Income Earners Use Cost Segregation & Accelerated Depreciation
The Big Beautiful Bill restores 100% bonus depreciation. Here’s how physicians and high-income earners can save thousands on taxes.
Read Article
Common Questions
Frequently Asked Questions
Answers to the questions physicians and medical practice owners ask most when considering a commercial real estate transaction.
What is a sale-leaseback and how does it benefit physicians?
A sale-leaseback allows you to sell your medical office building to an investor while simultaneously signing a long-term lease to remain in the space. You unlock the equity in your property as tax-advantaged capital — which can be reinvested into your practice, retirement, or other assets — while continuing to operate from the same location without interruption.
How does a 1031 exchange work for medical real estate?
A 1031 exchange (also called a like-kind exchange) lets you defer capital gains taxes when you sell a commercial property by reinvesting the proceeds into another qualifying property within IRS-defined timelines. For physician-investors, this is a powerful wealth-building tool that allows you to trade up to larger or more strategically located medical properties without an immediate tax hit.
Do I need a specialist broker to sell my medical office property?
Yes. Medical real estate has unique valuation drivers — tenant credit quality, lease structure, healthcare zoning, and proximity to hospital systems — that general commercial brokers often undervalue. A specialist like TheSREG understands how institutional investors underwrite healthcare assets, which means we can position your property to attract the highest-quality buyers and maximize your sale price.
How long does it take to sell a medical office building?
Most medical office transactions close within 60 to 120 days from the time a letter of intent is signed, depending on the buyer's due diligence requirements and financing. Our team manages the entire process — from valuation and marketing to negotiation and closing — to keep timelines on track and protect your interests at every stage.
Can TheSREG help me buy medical real estate as an investment?
Absolutely. We provide full buy-side representation for physician-investors looking to acquire NNN-leased medical office properties, dental practices, behavioral health facilities, and other healthcare assets. We identify off-market opportunities, conduct thorough due diligence, and negotiate on your behalf to secure properties that generate reliable passive income.
Does TheSREG work with clients outside of Virginia?
Yes. Supreme Real Estate Group operates nationwide. Our team has closed medical real estate transactions across the United States, and we bring the same level of market intelligence and strategic expertise to every market we serve — from major metro areas to regional healthcare hubs.
Get in Touch
Let’s Discuss Your Medical Real Estate
Whether you are considering selling, refinancing, or acquiring medical real estate, our team is ready to provide a confidential consultation and a complimentary property valuation.
- Phone(757) 335-4366
- EmailInvest@TheSREG.com
- Office2224 Virginia Beach Blvd, Suite 203
Virginia Beach, VA 23454 - Hours
Mon–Fri: 8:30 AM – 5:00 PM
Sat–Sun: By Appointment Only