Gary Duane Bartlett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2579 Issued in FL

Practice address

2400 S McCall Rd
Ste C
Englewood, FL 34224-5137

Phone

(941) 474-9314

Fax

(941) 473-9813

NPI assigned

Jan 31, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: gary.bartlett.1@15244.direct.athenahealth.com

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

• Gulf Coast Hma Physician Management LLC

  dba Gulf Coast Medical Group

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1407806094
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1174660823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 HANCOCK BRIDGE PKWY",
            "address_2": "STE 301",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339037094",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD",
            "address_2": "STE C",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245137",
            "telephone_number": "941-474-9314",
            "fax_number": "941-473-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "GARY",
        "middle_name": "DUANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina M Babiak, MD
• Iryna Babych, M.D.
• Carin M Ballard, RBT
• Anjelica Maria Barnhart
• Jack E Baron, MD
• Karen Browning Bassetti, D.O.
• Robert Francis Baumann, D.O.
• Edwin Alea Bautista, DPM
• Beacon Respiratory Services Inc (Alliance Oxygen and Medical Equipment)
• Joshua A Beasley, PA-C

• Physician Assistant in Englewood, FL
• Providers in Englewood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.