Darrell Brisbane
Individual provider Active NPI Community Health Worker · Bartow, FL
NPI 1346728334 · NPPES record last updated Aug 1, 2018
Key facts
- NPI
- 1346728334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1255 Golfview Ave
Bartow, FL 33830-6736 - Phone
- (863) 519-0575
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1255 Golfview Ave
Bartow, FL 33830-6736
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575
Other providers in Bartow, FL
- Bridge to Care - US Inc.
- Brilliant Smiles Bartow PA
- Carol Brimson
- Stephanie Brinson
- Brinton Family Eye Care, PLLC
- Broadway Discount Pharmacy LLC
- Beverly Brown
- Billy Brooks Brown Jr.
- Natalia Brown
- Rochell Brown
All providers in Bartow, FL · Community Health Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.