Brandon Novatko, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS22738 Issued in FL

Practice address

11232 Little River Way
Parrish, FL 34219-2116

Phone

(813) 469-8693

NPI assigned

Apr 10, 2023

Last updated

May 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: brandon.novatko.1@26999.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1063107720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 LITTLE RIVER WAY",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342192116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 LITTLE RIVER WAY",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342192116",
            "telephone_number": "813-469-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVATKO",
        "first_name": "BRANDON",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS22738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Nash, LCSW
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• Dawn C Neaverth
• Julie Nejame, PSY.D.
• Mark W Nickels, M.D.
• Jean Mary O'Connor, ARNP
• Janet Olmeda Rivera
• On Q Home Care Services LLC
• Andrea Orleanski
• Erika Alexis Osborn, PT, DPT

• Family Medicine Physician in Parrish, FL
• Providers in Parrish, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.