NPIMap

Individual provider Active NPI

Brian Lee Patterson, MD

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1730256116
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91687 Issued in FL
Practice address
1925 Don Wickham Drive
Clermont, FL 34711
Phone
(352) 243-9700
Fax
(352) 243-9844
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 91687 FL
Physical Medicine & Rehabilitation Physician 208100000X ME91687 FL
Family Medicine Physician 207Q00000X ME91687 FL Primary

Addresses

Primary practice location

1925 Don Wickham Drive
Clermont, FL 34711

Mailing address

1925 Don Wickham Dr
Clermont, FL 34711-1915
Phone (352) 404-8956

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Neeru@floridasportsinjury.exscribedirect.com Direct

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
I20050601000378 FL Practitioner - Family PracticePractitioner - Orthopedic Surgery 3072555994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Orthopedic and Rehab LLCGroup PAC ID 0345407565, 6 clinicians
FCHR PAGroup PAC ID 9638121684, 19 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1925 Don Wickham Dr
Clermont, FL 34711-1915
Phone (352) 404-8956

627 8TH St
Clermont, FL 34711-2159
Phone (352) 243-4472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
94.28
Improvement activities
40
Cost
75.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 91687FLMDFamily Medicine Physician
ME91687FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Urgent Care Center PLLC Past Accepting new patients
Hunter's Creek Urgent Care Center Past Accepting new patients
Pine Castle Urgent Care Center PLLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: neeru@floridasportsinjury.exscribedirect.com

Organizations & group practices 5

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1730256116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111915",
            "telephone_number": "352-404-8956",
            "fax_number": "352-404-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 DON WICKHAM DRIVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-243-9700",
            "fax_number": "352-243-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 91687",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME91687",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Neeru@floridasportsinjury.exscribedirect.com",
            "affiliation": "N",
            "endpointDescription": "Neeru@floridasportsinjury.exscribedirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1925 Don Wickham Drive",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.