Active NPI
Brian Michael M. Swann, P.A-C.
- Physician Assistant
- New Port Richey, FL
National Provider Identifier
1053386797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2308
- Practice address
- 9912 Little Rd
VA-Opc-NPR / PCC3
New Port Richey, FL 34654-3419 - Phone
- (727) 869-4100
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2308 | FL | Primary |
Addresses
Primary practice location
9912 Little Rd
VA-Opc-NPR / PCC3
New Port Richey, FL 34654-3419
Mailing address
9912 Little Rd Dept Veterans
Pas-PCC3
New Port Richey, FL 34654-3419
Phone (727) 869-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2308 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1053386797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9912 LITTLE RD DEPT VETERANS",
"address_2": "PAS-PCC3",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346543419",
"telephone_number": "727-869-4100",
"fax_number": "727-869-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9912 LITTLE RD",
"address_2": "VA-OPC-NPR / PCC3",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346543419",
"telephone_number": "727-869-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "M. SWANN",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "P.A-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "2308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.