Bryan H Heath MD PA – Specialist

Key facts

NPI: 1124328786
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: BRYAN H HEATH MD PA
Practice address: 308 Palmetto St
New Smyrna Beach, FL 32168-7136
Phone: (386) 957-3891
Fax: (386) 957-3887
NPI assigned: Oct 29, 2010
Organization subpart: No

Authorized official

Name: Dr. Bryan H Heath, MD
Title: President
Phone: (386) 957-3891

Practitioners 1

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

Bryan Henry Heath, M.D. Specialist · New Smyrna Beach, FL · NPI 1528091725

Medicare reassignment NPD FL · SPECIALIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20101108000906	FL	Part B Supplier - Clinic/Group Practice	6103011812	Receives reassigned benefits from 1 practitioner Practice locations: New Smyrna Beach, FL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

308 Palmetto St
New Smyrna Beach, FL 32168-7136

Mailing address

PO Box 36
New Smyrna Beach, FL 32170-0036
Phone (386) 957-3891

Other providers in New Smyrna Beach, FL

All providers in New Smyrna Beach, FL · Specialist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.