Individual provider Active NPI

Bryan David Webb, DNP, AGPCNP-BC, RNFA

  • Adult Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1760604920
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11014466 Issued in FL
Practice address
1058 N Victoria Park Rd
Fort Lauderdale, FL 33304-2414
Phone
(619) 296-5959
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 725533 WI
Adult Health Nurse Practitioner 363LA2200X 95004268 CA
Primary Care Nurse Practitioner 363LP2300X 95004268 CA
Gerontology Clinical Nurse Specialist 364SG0600X 95004268 CA
Perioperative Clinical Nurse Specialist 364SP2800X 587728 CA
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 11014466 FL Primary

Addresses

Primary practice location

1058 N Victoria Park Rd
Fort Lauderdale, FL 33304-2414

Mailing address

1058 N Victoria Park Rd
Fort Lauderdale, FL 33304-2414
Phone (619) 296-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11014466FLMDAdult Health Nurse Practitioner
725533WIMDAdult Health Nurse Practitioner
95004268CAMDGerontology Clinical Nurse Specialist
587728CAMDPerioperative Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Schine Health PLLC Single Specialty Current Accepting new patients

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1760604920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 N VICTORIA PARK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042414",
            "telephone_number": "619-296-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 N VICTORIA PARK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042414",
            "telephone_number": "619-296-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRYAN",
        "middle_name": "DAVID",
        "credential": "DNP, AGPCNP-BC, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "725533",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95004268",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004268",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "95004268",
            "primary": false
        },
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "CA",
            "license": "587728",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11014466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.