NPIMap

Individual provider Active NPI

Bryan Lee Witt, D.O.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Naples, FL
National Provider Identifier
1508002726
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
OS12609 Issued in FL
Practice address
2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002
Phone
(239) 325-4090
Fax
(239) 325-4091
NPI assigned
Dec 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101020200 MI
Student in an Organized Health Care Education/Training Program 390200000X 34.010495 OH
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X OS12609 FL Primary

Addresses

Primary practice location

2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002

Mailing address

2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002
Phone (239) 325-4090

Other practice location 1

13211 Walsingham Rd
Largo, FL 33774-3518
Phone (727) 596-8900

Other identifiers 1

IdentifierTypeStateIssuer
1503LBOtherFLFL BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212001336 FL Practitioner - Orthopedic Surgery 6103069612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

2171 Pine Ridge Rd
Suite F
Naples, FL 34109-2002
Phone (239) 325-4090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020200MIMDOrthopaedic Surgery Physician
34.010495OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Orthopedic Associates LLC Orthopaedic Surgery CurrentSince Apr 24, 2017 Accepting new patients
Sarasota Orthopedic Associates, LLC Orthopaedic Surgery CurrentSince Apr 24, 2017 Accepting new patients
Joint Implant Surgeons of Florida PA Orthopaedic Surgery CurrentSince Sep 1, 2015 Accepting new patients
Naples Orthopedics, Inc. Orthopaedic Surgery CurrentSince May 31, 2017 Accepting new patients
Joint Implant Surgeons of Florida PA Orthopaedic Surgery CurrentSince Sep 1, 2015 Accepting new patients
Stephen R Wood DO PA PastSince May 30, 2010 Accepting new patients

Locations

7331 College Pkwy
Ste 300
Fort Myers, FL 33907
Phone (239) 337-2003

2171 Pine Ridge Rd
Ste F
Naples, FL 34109
Phone (239) 325-4090

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHECBD/Endpoint/JHECBD
  • FHIR API: https://api.platform.athenahealth.com/16888/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHECBD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508002726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 PINE RIDGE RD STE F",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092002",
            "telephone_number": "239-325-4090",
            "fax_number": "239-325-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 PINE RIDGE RD STE F",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092002",
            "telephone_number": "239-325-4090",
            "fax_number": "239-325-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13211 WALSINGHAM RD",
            "address_purpose": "LOCATION",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743518",
            "country_code": "US",
            "telephone_number": "727-596-8900",
            "fax_number": "727-595-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101020200",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "34.010495",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "OS12609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "1503LB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.