Organization Active NPI

Primary Care Specialists of

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1235469982
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5829 Issued in FL
Legal business name
PRIMARY CARE SPECIALISTS OF
Practice address
6120 Winkler Rd
Suite H
Fort Myers, FL 33919-8125
Phone
(239) 337-9422
Fax
(239) 337-9421
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Fred J Burford II, D.O.
Title
Owner/President
Phone
(239) 337-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS5829 FL Primary

Addresses

Primary practice location

6120 Winkler Rd
Suite H
Fort Myers, FL 33919-8125

Mailing address

6120 Winkler Rd
Suite H
Fort Myers, FL 33919-8125
Phone (239) 337-9422

Other names 1

  • PRIMARY CARE SPECIALISTS OF SOUTHWEST FLORIDA, PA Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1235469982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD",
            "address_2": "SUITE H",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198125",
            "telephone_number": "239-337-9422",
            "fax_number": "239-337-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINKLER RD",
            "address_2": "SUITE H",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198125",
            "telephone_number": "239-337-9422",
            "fax_number": "239-337-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-337-9422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY CARE SPECIALISTS OF SOUTHWEST FLORIDA, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.