Bittern Emergency Physicians, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

BITTERN EMERGENCY PHYSICIANS, LLC

Practice address

16257 State Road 71 S
Blountstown, FL 32424-2808

Phone

(954) 939-5000

Fax

(877) 250-6889

NPI assigned

Jul 7, 2021

Last updated

Jun 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Kennedy

Title

Authorized Official

Phone

(207) 807-9009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bittern Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Perry, FL
  • NPI 1003487380

  O20140403001260

  Same enrollment
• Bittern Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Marianna, FL
  • NPI 1619392941

  O20140403001260

  Same enrollment

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Adamcryk, M.D.

  • Emergency Medicine Physician
  • Blountstown, FL
  • NPI 1841393840
  Medicare reassignment NPD
• Bruce D Burstein, M.D.

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1790716371
  Medicare reassignment NPD
• Diane Dodgen, M.D.

  • Primary Care Clinic/Center
  • Perry, FL
  • NPI 1134117385
  Medicare reassignment NPD
• Misbah I Farooqi, M.D.

  • Internal Medicine Physician
  • Blountstown, FL
  • NPI 1710986286
  Medicare reassignment NPD
• David Scott Grounds, D.O.

  • Emergency Medicine Physician
  • Eglin AFB, FL
  • NPI 1306815659
  Medicare reassignment NPD
• Stephen I Haire, MD

  • Emergency Medicine Physician
  • Clearwater, FL
  • NPI 1861429607
  Medicare reassignment NPD
• Hantz C Hercule, M.D, PH.D

  • General Practice Physician
  • Quincy, FL
  • NPI 1336232784
  Medicare reassignment NPD
• Kevin Martin Hornsby, M.D.

  • Family Medicine Physician
  • Blountstown, FL
  • NPI 1619908910
  Medicare reassignment NPD
• Jeffery W Johns, DO

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1588828982
  Medicare reassignment NPD
• Joti Vasantha Keshav, M.D.

  • Family Medicine Physician
  • Perry, FL
  • NPI 1033311188
  Medicare reassignment NPD
• Kristen Baker Nava, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1942672050
  Medicare reassignment NPD
• Mohammed H Rafi, M.D

  • Internal Medicine Physician
  • Perry, FL
  • NPI 1023025855
  Medicare reassignment NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1477124758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781074",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781074",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16257 STATE ROAD 71 S",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242808",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERN EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-807-9009"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Shelby Barber, MD
• John Jones Barfield, MSW
• Nan Melvin Barfield, OT/L
• Nicholas Barth, D.D.S.
• Chauncey L Belser, PT
• Blountstown Drug Inc.
• Blountstown FL Operator LLC (Blountstown Health and Rehabilitation Center)
• Blountstown Health & Rehabilitation Center, LLC (Blountstown Health & Rehabilitation Center)
• Blountstown Rehabilitation Center, LLC (River Valley Rehabilitation Center)
• Blountstown SNF Operations LLC (Blountstown Center for Rehabilitation and Healing)

• Emergency Medicine Physician in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.