Active NPI
Bradley R Reese, MD
- Otolaryngology Physician
- Orlando, FL
National Provider Identifier
1780762849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME50851
- Practice address
- 1781 Park Center Dr
Suite 210
Orlando, FL 32835-6254 - Phone
- (407) 351-0675
- Fax
- (407) 352-1867
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME50851 | FL | Primary |
Addresses
Primary practice location
1781 Park Center Dr
Suite 210
Orlando, FL 32835-6254
Mailing address
1781 Park Center Dr
Suite 210
Orlando, FL 32835-6254
Phone (407) 351-0675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251669100 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Richard I. Ecker | Current | Accepting new patients | |
| Florida Otolaryngology Group, P.a. | Otolaryngology | Current | Accepting new patients |
| University Surgery Center LTD | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1781 Park Center Dr
Ste 210
Orlando, FL 32835
Phone (407) 351-0675
7251 University Blvd
Ste 300
Winter Park, FL 32792
Phone (407) 677-0099
Interoperability endpoints
- bradleyreese@fogpa.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Winter Park, FL
- NPI 1740368802
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Dermatology Physician
- McMinnville, OR
- NPI 1700081742
-
- Ambulatory Surgical Clinic/Center
- Winter Park, FL
- NPI 1003813221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780762849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1781 PARK CENTER DR",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328356254",
"telephone_number": "407-351-0675",
"fax_number": "407-352-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 PARK CENTER DR",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328356254",
"telephone_number": "407-351-0675",
"fax_number": "407-352-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "BRADLEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME50851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251669100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.