Bret Jared Neiderman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME101253 Issued in FL

Practice address

100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318

Phone

(813) 899-6220

Fax

(813) 985-8006

NPI assigned

May 8, 2007

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, MS2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of California, San Diego School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians

SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
• Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 46)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  Body Imaging

  Medicare reassignment Care Compare group NPD
• Mississippi Hma Hospitalists, LLC

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1154608883

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• SMB Radiology P a

  • Diagnostic Radiology Physician
  • Pascagoula, MS
  • NPI 1609877356

  FL

  Medicare reassignment Care Compare group
• Gastro Health LLC

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1487767133
  Medicare reassignment NPD
• Gastroenterology Associates of Pensacola PA

  • Gastroenterology Physician
  • Pensacola, FL
  • NPI 1235223785
  Medicare reassignment NPD
• Medical Technology Transfer Corporation

  dba Harris Family Medical Center

  • Primary Care Clinic/Center
  • Melbourne, FL
  • NPI 1104947217
  Medicare reassignment NPD
• Morton Plant Mease Health Services Inc

  dba Boi Bardmoor

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962
  Medicare reassignment NPD
• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment NPD
• Shi Specialists LLC

  • Body Imaging Physician
  • Clewiston, FL
  • NPI 1912761917
  Medicare reassignment NPD
• St Josephs Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  Medicare reassignment NPD
• Tower Imaging LLC

  dba TGH Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1043542772

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1053643791

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Radiation Oncology Physician
  • Gulfport, MS
  • NPI 1063663490

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1063744704

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1073606901
  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Urology Physician
  • Gulfport, MS
  • NPI 1093031494

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Memorial Stone County Medical Center

  • Family Medicine Physician
  • Wiggins, MS
  • NPI 1104477710

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Gastroenterology Physician
  • Gulfport, MS
  • NPI 1124311055

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gulfport, MS
  • NPI 1184956815

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Physicians Clinic at MHG

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1205129137

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  dba Memorial Surgery Center Cedar Lake

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635
  Care Compare affiliation

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1396958872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERMAN",
        "first_name": "BRET",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "16172",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301089594",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101253",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME101253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "'000709000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Negron, LMT
• McKenzie Nehaul, APRN
• Roger Arvindo Nehaul, M.D.
• Rana Michel Nehme Moussa
• Brent Eugene Neideffer, MSW
• Maricel Borbon Neiderman, APRN
• Neighborhood Dietitian LLC
• Neighbourhood Pharmacy
• April Williams Neil, MSP CCC SLP
• Melissa K Neil, CRNA

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.

Verify at the official NPI Registry.