Active NPI
Brian K Doerr, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
National Provider Identifier
1437153236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO0003044
- Practice address
- 14391 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4421 - Phone
- (239) 931-3668
- Fax
- (239) 333-3669
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO0003044 | FL | Primary |
Addresses
Primary practice location
14391 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4421
Mailing address
14391 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4421
Phone (239) 931-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340443900 | Medicaid | FL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14391 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4423
Phone (239) 931-3668
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 64 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1549 |
| Removal or shaving of skin growth | 1118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0003044 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian K Doerr DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Hal Bozof, DPM, PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
14391 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 931-3668
Interoperability endpoints
- bdoerr@docdoerr.emadirect.md
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1437153236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14391 METROPOLIS AVE",
"address_2": "SUITE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124421",
"telephone_number": "239-931-3668",
"fax_number": "239-333-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14391 METROPOLIS AVE",
"address_2": "SUITE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124421",
"telephone_number": "239-931-3668",
"fax_number": "239-333-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "BRIAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO0003044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340443900",
"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 Apr 11, 2008; 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.