Individual provider Active NPI

Brett E Stanaland, MD

  • Allergy Physician
  • Naples, FL
National Provider Identifier
1508865924
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0062874 Issued in FL
Practice address
1000 Goodlette Rd N
Suite 200
Naples, FL 34102-5474
Phone
(239) 434-6200
Fax
(239) 434-5741
NPI assigned
Jul 18, 2005
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0062874 FL Primary

Addresses

Primary practice location

1000 Goodlette Rd N
Suite 200
Naples, FL 34102-5474

Mailing address

1000 Goodlette Rd N
Suite 200
Naples, FL 34102-5474
Phone (239) 434-6200

Other identifiers 2

IdentifierTypeStateIssuer
378659500MedicaidFL
26815OtherBLUE CROSS PROVIDER #

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
I20100415000873 FL Practitioner - Allergy/Immunology 9234266636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of South Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett E. Stanaland, M.D., P.a.Group PAC ID 2163559568, 2 clinicians

Practice addresses (Care Compare)

1000 Goodlette N Rd
Suite 200
Naples, FL 34102-5474
Phone (239) 434-6200

1000 Goodlette Rd N
Suite 200
Naples, FL 34102-5474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062874FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett E. Stanaland, M.D., P.a. Allergy CurrentSince Jun 22, 1998 Accepting new patients
David Greene MD LLC Past Accepting new patients

Locations

1000 Goodlette Rd
Ste 200
Naples, FL 34102
Phone (239) 434-6200

Organizations & group practices 2

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 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1508865924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GOODLETTE RD N",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025474",
            "telephone_number": "239-434-6200",
            "fax_number": "239-434-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GOODLETTE RD N",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025474",
            "telephone_number": "239-434-6200",
            "fax_number": "239-434-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANALAND",
        "first_name": "BRETT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0062874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378659500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "26815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.