Active NPI
Brian K Doerr DPM PA
- Podiatrist
- Fort Myers, FL
National Provider Identifier
1437248648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3044
- Legal business name
- BRIAN K DOERR DPM PA
- Practice address
- 14391 Metropolis Avenue
Suite 103
Fort Myers, FL 33912 - Phone
- (239) 931-3668
- Fax
- (239) 333-3669
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- April E Doerr
- Title
- President
- Phone
- (239) 931-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3044 | FL | Primary |
Addresses
Primary practice location
14391 Metropolis Avenue
Suite 103
Fort Myers, FL 33912
Mailing address
14391 Metropolis Ave
Suite 103
Fort Myers, FL 33912
Phone (239) 931-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1064430 | Brian K Doerr DPM PA | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
14391 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 931-3668
14391 Metropolis Ave
Ste 3
Fort Myers, FL 33912
Phone (239) 931-3668
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1477511350
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1437153236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1437248648",
"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": "33912",
"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 AVENUE",
"address_2": "SUITE 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33912",
"telephone_number": "239-931-3668",
"fax_number": "239-333-3669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN K DOERR DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "DOERR",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-931-3668"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3044",
"primary": true
}
],
"identifiers": [],
"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.
- 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.