Organization Active NPI

Naples Pulmonary LLC

  • Pulmonary Disease Physician
  • Naples, FL
National Provider Identifier
1104464262
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NAPLES PULMONARY LLC
Practice address
10661 Airport Rd N Ste 10
Naples, FL 34109-7310
Phone
(239) 208-0381
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Kenneth Bookman, MDNPI 1881792349
Title
Physician
Phone
(239) 208-0381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

10661 Airport Rd N Ste 10
Naples, FL 34109-7310

Mailing address

10661 Airport Rd N Ste 10
Naples, FL 34109-7310
Phone (239) 208-0381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427000677 FL Part B Supplier - Clinic/Group Practice 4789014143 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1104464262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 AIRPORT RD N STE 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097310",
            "telephone_number": "239-208-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 AIRPORT RD N STE 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097310",
            "telephone_number": "239-208-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES PULMONARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BOOKMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-208-0381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.