Richard J Pry, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0050452 Issued in FL

Practice address

63 Barkley Cir
Ste. 100 & 101
Fort Myers, FL 33907-4514

Phone

(239) 938-3500

Fax

(239) 278-0588

NPI assigned

May 22, 2006

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHFHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Foot and Ankle Physicians PA

  • Primary Podiatric Medicine Podiatrist
  • Cape Coral, FL
  • NPI 1770598617
  NPD (past)
• Lee Memorial Health System

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1992873319
  NPD (past)
• LMR Imaging

  dba LMR Imaging & MRI-Riverwalk

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1649263724
  NPD (past)
• Morgan Medical Corp

  dba MRI of North Brevard

  • Diagnostic Radiology Physician
  • Titusville, FL
  • NPI 1679566756
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1174577266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-938-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BARKLEY CIR",
            "address_2": "STE. 100 & 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074514",
            "telephone_number": "239-938-3500",
            "fax_number": "239-278-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0050452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FRL",
            "identifier": "P00318900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O36321900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "07379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proton Fusion, LLC (Southwest Florida Proton)
• Providence Family Life Center Corporation
• Providia Home Care LLC. (Preferred Care Home Health Services)
• PRP Centers of Florida LLC
• James Edward Prues Jr., PHARMD
• PS Providing Supports
• Psychiatric Associates of Southwest Florida
• Psychiatric Center of Florida
• Psychskills Institute Inc
• Colleen Pszczolkowski, PA-C

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.