Ahmad G Bizri, M.D.
Individual provider Active NPI Psychiatry Physician · Bartow, FL
NPI 1477540110 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1477540110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- ME108896 (FL)
- Practice address
- 1239 E Main St
Bartow, FL 33830-5058 - Phone
- (863) 519-0575
- Fax
- (863) 582-9251
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Highlands Community Mental Health Center, Inc. | Past |
Accepting new patients | |
| Peace River Center for Personal Development Inc | Past |
Accepting new patients | |
| Life Recovery LLC | Psychiatry | Past | Accepting new patients |
| Florida Therapy Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME108896 | FL | Yes |
Addresses
Primary practice location
1239 E Main St
Bartow, FL 33830-5058
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116229000 | Medicaid | WV | |
| 007108371 | Other | VA | FIRST HEALTH |
| 0101055878 | Other | VA | LICENSE |
| 1064538 | Other | WV | WV WORKERS' COMPENSATION |
| 009689400 | Medicaid | FL | |
| ME108896 | Other | FL | LICENSE |
Other providers in Bartow, FL
- Billy B Brown Jr DDS PA
- Bio-Medical Applications of Florida, Inc.
- Lisa Jane Birge
- Amanda Bishop
- James William Bittner
- Josie L Blew
- Brianna Board
- Tamora Boatwright
- Teri Boggs
- Valerie Boker
All providers in Bartow, FL · Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.