Brian a Harris MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BRIAN A HARRIS MD PA

Practice address

9090 Park Royal Dr
Fort Myers, FL 33908-9616

Phone

(239) 936-3344

Fax

(239) 936-5126

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Brian A Harris, MDNPI 1538272653

Title

President

Phone

(239) 936-3344

Specialties & licenses 1

Addresses

Other names 1

• HARRIS DERMATOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Brian A Harris, MD

  • MOHS-Micrographic Surgery Physician
  • Fort Myers, FL
  • NPI 1538272653

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Sean Raymond Logan, M.D.

  • Neurological Surgery Physician
  • Findlay, OH
  • NPI 1023124377

  FL

  Medicare reassignment Care Compare group NPD
• Sherrie L Jones, ARNP

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1790898864
  Medicare reassignment Care Compare group
• Keith A Harris, MD

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1265545396
  Medicare reassignment NPD
• Yaritza Perez-Soto, M.D.

  • Surgery Physician
  • Naples, FL
  • NPI 1396714317
  Medicare reassignment NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1215040225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 PARK ROYAL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089616",
            "telephone_number": "239-936-3344",
            "fax_number": "239-936-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 PARK ROYAL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089616",
            "telephone_number": "239-936-3344",
            "fax_number": "239-936-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A HARRIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-3344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRIS DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Breth
• Angel Antonio Bretones Zambrano
• Erek Brewer
• Carter Brewster
• Ewing Rashawn Brewster
• Brian D Kurland M D P a
• Brian K Doerr DPM PA
• Patricia June Briand, RN, CCM
• Scott James Brick, D.O.
• Bridge for the Life Health Service LLC

• Dermatology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.