Individual provider Active NPI

Robert Bernie Pritt, D.O.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1568424729
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6816 Issued in FL
Practice address
13670 Metropolis Ave
Suite 104
Fort Myers, FL 33912-4346
Phone
(239) 489-0800
Fax
(239) 489-3274
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6816 FL Primary

Addresses

Primary practice location

13670 Metropolis Ave
Suite 104
Fort Myers, FL 33912-4346

Mailing address

13670 Metropolis Ave
Suite 104
Fort Myers, FL 33912-4346
Phone (239) 489-0800

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
I20081119000860 FL Practitioner - Family Practice 2163582206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS6816FLMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: robert.pritt.1@7262.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1568424729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13670 METROPOLIS AVE",
            "address_2": "SUITE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124346",
            "telephone_number": "239-489-0800",
            "fax_number": "239-489-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13670 METROPOLIS AVE",
            "address_2": "SUITE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124346",
            "telephone_number": "239-489-0800",
            "fax_number": "239-489-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITT",
        "first_name": "ROBERT",
        "middle_name": "BERNIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.