Active NPI
Brett Missick, R.T.
- Diagnostic Radiology Physician
- Ocala, FL
National Provider Identifier
1831811322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 65899
- Practice address
- 10606 N Magnolia Ave
Ocala, FL 34475-1011 - Phone
- (352) 875-1622
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 65899 | FL | Primary |
Addresses
Primary practice location
10606 N Magnolia Ave
Ocala, FL 34475-1011
Mailing address
10606 N Magnolia Ave
Ocala, FL 34475-1011
Phone (352) 875-1622
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65899 | FL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1831811322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10606 N MAGNOLIA AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344751011",
"telephone_number": "352-875-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10606 N MAGNOLIA AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344751011",
"telephone_number": "352-875-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSICK",
"first_name": "BRETT",
"credential": "R.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "65899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.