Individual provider Active NPI

Reisha F Brown, MD

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1316907108
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 94478 Issued in FL
Practice address
1265 Creekside Pkwy Ste 208
Naples, FL 34108-1954
Phone
(239) 658-3000
Fax
(392) 591-9433
NPI assigned
Mar 24, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 94478 FL Primary

Addresses

Primary practice location

1265 Creekside Pkwy Ste 208
Naples, FL 34108-1954

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3707

Other identifiers 2

IdentifierTypeStateIssuer
277815700MedicaidFL
93481OtherFLBCBS

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
I20070907000601 FL Practitioner - Pediatric Medicine 6103813936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 94478FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services, Inc CurrentSince Aug 1, 2018 Accepting new patients
Collier Health Services Inc CurrentSince Aug 1, 2018 Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Pediatrics Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Pediatrics Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1441 Heritage Blvd
Immokalee, FL 34142
Phone (239) 624-8050

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

1454 Madison Ave W
Unit 3
Immokalee, FL 34142

1454 Madison Ave W
Unit 4
Immokalee, FL 34142

1008 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 262-8226

1090 6th Ave N
Naples, FL 34102
Phone (239) 213-9200

1265 Creekside Pkwy
Ste 208
Naples, FL 34108
Phone (239) 658-3712

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

1920 Manatee Rd
Naples, FL 34114

5450 Ymca Rd
#102
Naples, FL 34109

6350 Davis Blvd
Unit 1001
Naples, FL 34104

9160 Galleria Ct
Naples, FL 34109
Phone (239) 514-8787

Interoperability endpoints

  • Direct secure messaging: clinical@pedsassocofswfl.directbygreenway.com
  • Direct secure messaging: reisha.brown.1@10865.direct.athenahealth.com

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1316907108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CREEKSIDE PKWY STE 208",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081954",
            "telephone_number": "239-658-3000",
            "fax_number": "392-591-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REISHA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 94478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277815700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "93481",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.