NPIMap

Organization Active NPI

Physicians Primary Care of Southwest Florida PL

  • General Practice Physician
  • Fort Myers, FL
National Provider Identifier
1356336705
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
Practice address
12730 New Brittany Blvd Ste 200
Fort Myers, FL 33907-3646
Phone
(239) 275-5857
Fax
(239) 275-1187
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Jon Burdzy, DONPI 1205854510
Title
President/Managing Physician
Phone
(239) 275-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

12730 New Brittany Blvd Ste 200
Fort Myers, FL 33907-3646

Mailing address

12730 New Brittany Blvd Ste 602
Fort Myers, FL 33907-4690
Phone (239) 275-5522

Other identifiers 2

IdentifierTypeStateIssuer
379245500MedicaidFL
40398OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000177 FL Part B Supplier - Clinic/Group Practice 2769389675 Receives reassigned benefits from 58 practitioners
8 other NPIs on this enrollment
Practice locations: Fort Myers, FL; Lehigh Acres, FL; Estero, FL; Cape Coral, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1261 Viscaya Pkwy
Ste 102
Cape Coral, FL 33990
Phone (239) 242-0070

1261 Viscaya Pkwy
Ste 101
Cape Coral, FL 33990
Phone (239) 573-7337

1255 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337

1501 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 574-1988

3046 Del Prado Blvd S
Ste 2C
Cape Coral, FL 33904
Phone (239) 540-9111

1261 Viscaya Pkwy
Ste 103
Cape Coral, FL 33990
Phone (239) 573-6111

10201 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 444-5800

10200 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 482-1010

5172 Mason Corbin Ct
Ste 3
Fort Myers, FL 33907
Phone (239) 273-8624

9350 Camelot Dr
Ste B
Fort Myers, FL 33919

13195 Metro Pkwy
Ste 8
Fort Myers, FL 33966
Phone (239) 482-1010

13740 Cypress Terrace Cir
Fort Myers, FL 33907
Phone (239) 275-5522

6160 Winkler Rd
Fort Myers, FL 33919
Phone (239) 362-3005

9350 Camelot Dr
Fort Myers, FL 33919
Phone (239) 481-5437

12730 New Brittany Blvd
Ste 200
Fort Myers, FL 33907
Phone (239) 275-5857

18070 S Tamiami Trl
Unit 108
Fort Myers, FL 33908
Phone (239) 481-5437

7381 College Pkwy
Ste 110
Fort Myers, FL 33907
Phone (239) 482-1010

5624 8th St W
Ste 108
Lehigh Acres, FL 33971
Phone (239) 368-7050

Practitioners & affiliated clinicians

Practitioners 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1356336705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 NEW BRITTANY BLVD STE 602",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074690",
            "telephone_number": "239-275-5522",
            "fax_number": "239-275-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 NEW BRITTANY BLVD STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073646",
            "telephone_number": "239-275-5857",
            "fax_number": "239-275-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BURDZY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "239-275-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379245500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "40398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.