Individual provider Active NPI

Donald M McCarren, DO

  • Neurology Physician
  • Bonita Springs, FL
National Provider Identifier
1255385662
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS15647 Issued in FL
Practice address
28420 Bonita Crossings Blvd Unit 110
Bonita Springs, FL 34135-3203
Phone
(239) 235-0380
Fax
(239) 237-5574
NPI assigned
May 20, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS007198L PA
Neurology Physician 2084N0400X C2-0004898 DE
Neurology Physician 2084N0400X 25MB06542700 NJ
Neurology Physician 2084N0400X OS15647 FL Primary

Addresses

Primary practice location

28420 Bonita Crossings Blvd Unit 110
Bonita Springs, FL 34135-3203

Mailing address

19057 Aqua Shore Dr
Fort Myers, FL 33913-7894
Phone (610) 420-4488

Other practice location 1

13782 Plantation Rd Ste 201
Fort Myers, FL 33912
Phone (239) 343-1290

Other practice location 2

555 2nd Ave
Suite C850
Collegeville, PA 19426-3600
Phone (610) 831-5200

Other practice location 3

1680 The Greens Way Ste 200
Jacksonville Beach, FL 32250-1422
Phone (904) 801-0738

Other practice location 4

8360 Sierra Meadows Blvd Ste 100
Naples, FL 34113-7328
Phone (239) 744-2175

Other identifiers 1

IdentifierTypeStateIssuer
102091500MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001157 FL Practitioner - NeurologyPractitioner - Psychiatry 7719988401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Healthcare of Florida LLCGroup PAC ID 8729496500, 5 clinicians
Florida Memory Care and Neurology Services LLCGroup PAC ID 1951719459, 6 clinicians

Practice addresses (Care Compare)

28420 Bonita Crossings Blvd
Unit 100
Bonita Springs, FL 34135-3203
Phone (239) 235-0385

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C2-0004898DEMDNeurology Physician
OS15647FLMDNeurology Physician
OS007198LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare of Florida LLC CurrentSince Feb 1, 2021 Accepting new patients
Pure Infusion of Florida LLC CurrentSince Sep 1, 2025 Accepting new patients
Florida Memory Care and Neurology Services LLC CurrentSince Feb 1, 2021 Accepting new patients
Bucks County Family Care, P. C. Past Accepting new patients
Interpretive Neurodiagnostics LLC Neurology Past Accepting new patients
Advanced Neurologic Care Associates, PC Neurology PastSince Jul 1, 2002 Accepting new patients

Locations

28420 Bonita Crossings Blvd
Unit 100
Bonita Springs, FL 34135
Phone (239) 235-0385

28420 Bonita Crossings Blvd
Unit 110
Bonita Springs, FL 34135
Phone (239) 235-0380

1680 The Greens Way
Ste 200
Jacksonville Beach, FL 32250
Phone (904) 800-7380

1680 The Greens Way
Ste 200A
Jax Bch, FL 32250
Phone (904) 821-7390

8360 Sierra Meadows Blvd
Ste 100
Naples, FL 34113
Phone (239) 624-1900

4179 S Riverboat Rd
Ste 170
Taylorsville, UT 84123
Phone (385) 224-0297

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1255385662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19057 AQUA SHORE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137894",
            "telephone_number": "610-420-4488",
            "fax_number": "239-237-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28420 BONITA CROSSINGS BLVD UNIT 110",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353203",
            "telephone_number": "239-235-0380",
            "fax_number": "239-237-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13782 Plantation Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33912",
            "country_code": "US",
            "telephone_number": "239-343-1290",
            "fax_number": "239-343-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 2nd Ave",
            "address_2": "Suite C850",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263600",
            "country_code": "US",
            "telephone_number": "610-831-5200",
            "fax_number": "610-831-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1680 The Greens Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322501422",
            "country_code": "US",
            "telephone_number": "904-801-0738",
            "fax_number": "904-467-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Sierra Meadows Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137328",
            "country_code": "US",
            "telephone_number": "239-744-2175",
            "fax_number": "239-307-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARREN",
        "first_name": "DONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS007198L",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C2-0004898",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB06542700",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS15647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102091500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.