Brent A Leytem, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME55528 Issued in FL

Practice address

6900 NW 9TH Blvd
Gainesville, FL 32605-4201

Phone

(352) 333-6680

Fax

(352) 331-4006

NPI assigned

Mar 17, 2006

Last updated

Jul 9, 2007By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gainesville Family Physicians P a

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1972601789
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407815640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 NW 9TH BLVD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-333-6680",
            "fax_number": "352-331-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 NW 9TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-333-6680",
            "fax_number": "352-331-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYTEM",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME55528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lewis
• Sheena Lewis
• Stephen Bryn Lewis, MD PHD
• Teaira Lewis
• Margo Lewkow
• Oscar Leyva-Yapur, M.D.
• LG Counseling
• Annie Li, PA-C
• Emily Li
• Grace Tianqi Li, MD

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.