Active NPI
Bryan Meyers
- Social Worker
- Tarpon Springs, FL
National Provider Identifier
1083366686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 684877096
- Practice address
- 712 Wesley Ave Ste F
Tarpon Springs, FL 34689-6729 - Phone
- (727) 485-7967
- Fax
- (727) 888-2682
- NPI assigned
- Jan 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 684877096 | FL | Primary |
Addresses
Primary practice location
712 Wesley Ave Ste F
Tarpon Springs, FL 34689-6729
Mailing address
712 Wesley Ave Ste F
Tarpon Springs, FL 34689-6729
Phone (727) 485-7967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684877096 | Medicaid | FL |
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 |
|---|---|---|---|
| 684877096 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1083366686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 WESLEY AVE STE F",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346896729",
"telephone_number": "727-485-7967",
"fax_number": "727-888-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 WESLEY AVE STE F",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346896729",
"telephone_number": "727-485-7967",
"fax_number": "727-888-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "684877096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "684877096",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.