Individual provider Active NPI

Bradley S Panton, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fort Pierce, FL
National Provider Identifier
1831123082
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME0062002 Issued in FL
Practice address
1811 S 25TH St
Fort Pierce, FL 34947-4756
Phone
(772) 467-1960
Fax
(772) 467-1097
NPI assigned
Jul 11, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X ME0062002 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME0062002 FL Primary

Addresses

Primary practice location

1811 S 25TH St
Fort Pierce, FL 34947-4756

Mailing address

2451 SW Racquet Club Dr
Palm City, FL 34990-2610
Phone (772) 221-8546

Other identifiers 2

IdentifierTypeStateIssuer
14997OtherFLBXBS FL
37713340001MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000283 FL Practitioner - Anesthesiology 0143240457 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1811 S 25TH St
Fort Pierce, FL 34947-4756
Phone (772) 467-1960

Merit-based Incentive Payment System (MIPS)

Final score
68.4 of 100Reported as individual
Quality
36.8
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Multi-Specialty Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Multi-Specialty CurrentSince Sep 1, 2015 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Multi-Specialty CurrentSince Sep 1, 2015 Accepting new patients
Sheridan Healthcorp, Inc. Multi-Specialty CurrentSince Sep 1, 2015 Accepting new patients
Sheridan Healthcorp Inc Multi-Specialty Current Accepting new patients
East Coast Anesthesia Associates PA Multi-Specialty CurrentSince Jun 15, 2015 Accepting new patients
Sheridan Healthcorp Inc Multi-Specialty CurrentSince Sep 1, 2015 Accepting new patients
Gulfstream Anesthesia Associates Inc Multi-Specialty CurrentSince May 13, 2017 Accepting new patients
Cfsatc Inc CurrentSince Jan 13, 2009 Accepting new patients
North Tampa Anesthesia Consultants Multi-Specialty Past Accepting new patients
Highlands Anesthesia LLC PastSince Sep 2, 2017 Accepting new patients
Martin County Anesthesia Group PL Multi-Specialty PastSince Apr 30, 2003 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1811 S 25th St
Fort Pierce, FL 34947
Phone (772) 466-4070

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

6830 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 873-6700

9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1831123082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 SW RACQUET CLUB DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902610",
            "telephone_number": "772-221-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474756",
            "telephone_number": "772-467-1960",
            "fax_number": "772-467-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTON",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME0062002",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0062002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS FL",
            "identifier": "14997",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37713340001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.