David Bradley Whitfield

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN11012754 Issued in FL

Practice address

609 E 6TH CT
Panama City, FL 32401-3605

Phone

(503) 480-2938

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1225608284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 THE OAKS DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324467913",
            "telephone_number": "850-272-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E 6TH CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013605",
            "telephone_number": "503-480-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "DAVID",
        "middle_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012754",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11012754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE AND MEDICAD",
            "identifier": "MW6458841",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Daniel White, DC
• Paul D. White, LADAC,ACADC
• Mandi Madison Leigh Whitehead, COTA/L
• Ashley Nichole Whitfield, PHARM D
• Brittany Nicole Whitfield, APRN, PMHNP
• Vicky Perkins Whitfield, RPH
• Luke Whitlow
• Amber Whitman
• Claudia Michelle Whitmarsh
• Ginger Beth Whitted, CRNA

• Primary Care Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.