Organization Active NPI

Scott Breitzig DC PA

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1760665699
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8078 Issued in FL
Legal business name
SCOTT BREITZIG DC PA
Practice address
2665 Cleveland Ave
Suite #105
Fort Myers, FL 33901-5850
Phone
(239) 332-5523
Fax
(239) 332-2145
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Glenn Scott Breitzig, D.C.NPI 1154305837
Title
President
Phone
(239) 332-5523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8078 FL Primary

Addresses

Primary practice location

2665 Cleveland Ave
Suite #105
Fort Myers, FL 33901-5850

Mailing address

2665 Cleveland Ave
Suite #105
Fort Myers, FL 33901-5850
Phone (239) 332-5523

National Provider Directory

National Provider Directory

Locations

2665 Cleveland Ave
Ste 105
Fort Myers, FL 33901
Phone (239) 332-5523

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1760665699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE",
            "address_2": "SUITE #105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-332-5523",
            "fax_number": "239-332-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE",
            "address_2": "SUITE #105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-332-5523",
            "fax_number": "239-332-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BREITZIG DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BREITZIG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-332-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.