Active NPI
Brett S Sullivan, M.D.
- Anesthesiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME79310
- Practice address
- 1000 W Moreno St
Pensacola, FL 32501-2316 - Phone
- (850) 437-8390
- Fax
- (850) 437-8394
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME79310 | FL | Primary |
Addresses
Primary practice location
1000 W Moreno St
Pensacola, FL 32501-2316
Mailing address
PO Box 10824
Birmingham, AL 35202-0824
Phone (205) 322-1808
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49350 | Other | FL | BCBS |
| 59169959 | Other | AL | BCBS |
| P00134517 | Other | PALMETTO GBA-RR MEDICARE | |
| 59169956 | Other | AL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Florida College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478
4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Baptist LLC | Anesthesiology | Current | Accepting new patients |
| Florida Gulf Coast Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Anesthesiology | Current | Accepting new patients |
| The Anesthesia Group, P.a. | Anesthesiology | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Anesthesiology | Past | Accepting new patients |
Locations
4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1013522325
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1871532226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356385405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10824",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352020824",
"telephone_number": "205-322-1808",
"fax_number": "205-322-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W MORENO ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325012316",
"telephone_number": "850-437-8390",
"fax_number": "850-437-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "BRETT",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME79310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49350",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59169959",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MEDICARE",
"identifier": "P00134517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59169956",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.