Individual provider Active NPI

Brian Lawrence Sontag, DO

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1497709539
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS6683 Issued in FL
Practice address
5153 N 9TH Ave
Ste 205
Pensacola, FL 32504-8785
Phone
(850) 416-2550
Fax
(850) 416-2539
NPI assigned
May 22, 2006
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS6683 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave
Ste 205
Pensacola, FL 32504-8785

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4500

Other identifiers 1

IdentifierTypeStateIssuer
373821300MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000592 FL Practitioner - Obstetrics/Gynecology 8123020658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, shared by 6 NPIs, 373 clinicians

Practice addresses (Care Compare)

5153 N 9TH Ave
Suite 205
Pensacola, FL 32504-5719
Phone (850) 416-7101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS6683FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jul 20, 2011 Accepting new patients
Florida Medical Practice Plan Inc CurrentSince Jul 12, 2006 Accepting new patients
Sacred Heart Health System Inc CurrentSince Jun 29, 2007 Accepting new patients
Rule One LLC Obstetrics & Gynecology CurrentSince Mar 1, 2014 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jun 29, 2007 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Florida Clinical Practice Association Inc Obstetrics & Gynecology Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4400 Bayou Blvd
Ste 36
Pensacola, FL 32503
Phone (850) 857-3733

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

5149 N 9th Ave
Ste 127
Pensacola, FL 32504
Phone (850) 416-2340

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5151 N 9th Ave
Ste 201
Pensacola, FL 32504
Phone (850) 416-6020

5153 N 9th Ave
Ste 205
Pensacola, FL 32504
Phone (850) 416-2550

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 640-1416

Interoperability endpoints

  • Direct secure messaging: brian.sontag.1@9582.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1497709539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE",
            "address_2": "STE 205",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "850-416-2550",
            "fax_number": "850-416-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTAG",
        "first_name": "BRIAN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS6683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373821300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.