Organization Active NPI

North Naples Family Care Inc

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1285616219
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80216 Issued in FL
Legal business name
NORTH NAPLES FAMILY CARE INC
Practice address
5490 Bryson Dr
Suite 201
Naples, FL 34109-0921
Phone
(239) 596-7731
Fax
(239) 596-2285
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Brian W Bozza, MD
Title
Owner
Phone
(239) 596-7731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME80216 FL Primary

Addresses

Primary practice location

5490 Bryson Dr
Suite 201
Naples, FL 34109-0921

Mailing address

5490 Bryson Dr
Suite 201
Naples, FL 34109-0921
Phone (239) 596-7731

Other identifiers 1

IdentifierTypeStateIssuer
51559OtherFLBLUE CROSS OF FLORIDA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1285616219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 BRYSON DR",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090921",
            "telephone_number": "239-596-7731",
            "fax_number": "239-596-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 BRYSON DR",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090921",
            "telephone_number": "239-596-7731",
            "fax_number": "239-596-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NAPLES FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "BOZZA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-596-7731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "51559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.