Bryan Michael Stafford Sr., ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FL ARNP9209888 Issued in FL

Practice address

8246 River Country Dr
Weeki Wachee, FL 34607-2101

Phone

(352) 684-8637

NPI assigned

Nov 2, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osteopathic Heritage, P.a.Group PAC ID 6406907278, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Osteopathic Heritage, P.a.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1316196744
  Medicare reassignment Care Compare group NPD
• Osteopathic Heritage, P.a.

  • Family Medicine Physician
  • Spring Hill, FL
  • NPI 1598751216
  NPD
• Gulfstream Emergency Physicians

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1447428438
  NPD (past)
• Haven Emergency Physicians

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1518916469
  NPD (past)
• Quality Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1093998833
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1194025510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 FELLOWSHIP LN",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346142977",
            "telephone_number": "352-593-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8246 RIVER COUNTRY DR",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072101",
            "telephone_number": "352-684-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "FL ARNP9209888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda A Soldineer, OTR, PTA
• Nina Marie Solem, PTA
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• Springs Family Physicians LLC
• St Peter Medical Clinic,Inc
• Thomas P Stamp
• Stepping Stones Therapy, LLC
• Carolyn K Street, LMT
• Suncoast Hernando Surgical Assisting Inc
• Cynthia Lynn Suter, LMHC

• Family Nurse Practitioner in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.