Individual provider Active NPI

Brian K Doerr, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1437153236
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0003044 Issued in FL
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

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340443900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000396 FL Practitioner - Podiatry 1254304538 Reassigns benefits to 1 organization

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
Brian K Doerr DPM PAGroup PAC ID 3173623766, 2 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue1549
Removal or shaving of skin growth1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0003044FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K Doerr DPM PA Foot & Ankle Surgery CurrentSince Dec 16, 2006 Accepting new patients
Hal Bozof, DPM, PA Foot & Ankle Surgery PastSince Jul 27, 2004 Accepting new patients

Locations

14391 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 931-3668

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.