Individual provider Active NPI

Brandyn Michael Powers

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1689105843
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS17844 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS17844 FL Primary
Psychiatry Physician 2084P0800X 2022019519 MO
Psychiatry Physician 2084P0800X OT017753 PA

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

100 N Academy Ave
Danville, PA 17822-9800
Phone (800) 275-6401

Other practice location 2

65 Scarlet Oak Dr
Etters, PA 17319-8601
Phone (717) 514-2815

Other practice location 3

211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211203000992 PA Practitioner - Psychiatry 0941570345 Reassigns benefits to 1 organization
I20240419003243 MO Practitioner - Psychiatry 0941570345 Reassigns benefits to 1 organization
I20251107003389 OR Practitioner - Psychiatry 0941570345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TS Telepsychiatry PLLCGroup PAC ID 0941698070, 21 clinicians

Practice addresses (Care Compare)

4475 Oakwood LN
Nazareth, PA 18064-9804
Phone (239) 208-2212

4989 Saddlebrook Dr
Harrisburg, PA 17112-2187
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17844FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Jun 1, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bpowers1595489@direct.lhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1689105843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "800-275-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Scarlet Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173198601",
            "country_code": "US",
            "telephone_number": "717-514-2815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 NE 54th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184330",
            "country_code": "US",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "BRANDYN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS17844",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2022019519",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT017753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.