Active NPI
Rhonda M. Kessler, MD
- Pediatric Radiology Physician
- Fort Myers, FL
National Provider Identifier
1790877579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- ME32447
- Practice address
- 16114 Waterleaf LN
Fort Myers, FL 33908-3120 - Phone
- (239) 689-3934
- Fax
- (239) 689-3934
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME32447 | FL | Primary |
Addresses
Primary practice location
16114 Waterleaf LN
Fort Myers, FL 33908-3120
Mailing address
16114 Waterleaf LN
Fort Myers, FL 33908-3120
Phone (239) 689-3934
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200042030A | Medicaid | OK | |
| 1792490 | Medicaid | PA | |
| 2067105 | Medicaid | NY | |
| 8157103 | Medicaid | NJ | |
| 573709 | Medicaid | IA | |
| 7098006 | Medicaid | MD | |
| 7613287 | Medicaid | NC | |
| RK47128 | Medicaid | RI |
Other names 1
- Rhonda Brotman
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447545600000",
"number": "1790877579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16114 WATERLEAF LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083120",
"telephone_number": "239-689-3934",
"fax_number": "239-689-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16114 WATERLEAF LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083120",
"telephone_number": "239-689-3934",
"fax_number": "239-689-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "RHONDA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2015-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "ME32447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200042030A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1792490",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2067105",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8157103",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "573709",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7098006",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7613287",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RK47128",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "BROTMAN",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.