Individual provider Active NPI

Brian K Kritchman, MD

  • Ophthalmology Physician
  • Parkland, FL
National Provider Identifier
1437151065
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME111441 Issued in FL
Practice address
8292 Emerald Ave
Parkland, FL 33076-4430
Phone
(502) 552-8581
Fax
(561) 322-3589
NPI assigned
Aug 12, 2005
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME111441 FL Primary

Addresses

Primary practice location

8292 Emerald Ave
Parkland, FL 33076-4430

Mailing address

8292 Emerald Ave
Parkland, FL 33076-4430
Phone (502) 552-8581

Other identifiers 3

IdentifierTypeStateIssuer
0800011OtherUNITED HEALTHCARE
917287OtherBLOCK VISION
4072023OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042740INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Retina Corp Past Accepting new patients
Lloyd R. Taustine PC Ophthalmology PastSince Jul 1, 1980 Accepting new patients
Lloyd R Taustine PC Ophthalmology PastSince May 3, 1996 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1437151065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8292 EMERALD AVE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764430",
            "telephone_number": "502-552-8581",
            "fax_number": "561-322-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8292 EMERALD AVE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764430",
            "telephone_number": "502-552-8581",
            "fax_number": "561-322-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITCHMAN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME111441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0800011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "917287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4072023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.