Individual provider Active NPI

Bryan S Robinson, DO

  • Pediatrics Physician
  • Crestview, FL
National Provider Identifier
1841403441
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO0000001829 Issued in TN
Practice address
127 E Redstone Ave
Crestview, FL 32539-5358
Phone
(850) 634-6464
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO0000001829 TN Primary

Addresses

Primary practice location

127 E Redstone Ave
Crestview, FL 32539-5358

Mailing address

127 E Redstone Ave
Crestview, FL 32539-5358
Phone (850) 398-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111116000461 TN Practitioner - Pediatric Medicine 3274707856 Reassigns benefits to 1 organization
I20210511002081 FL Practitioner - Pediatric Medicine 3274707856 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO0000001829TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Oct 3, 2011 Accepting new patients
White-Wilson Medical Center PA CurrentSince Jun 1, 2021 Accepting new patients
Amg-Hillside LLC CurrentSince Oct 3, 2011 Accepting new patients

Locations

130 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

127 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

127 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 689-2775

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

202 Hillside Dr
Pulaski, TN 38478
Phone (931) 207-8397

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: bryan.robinson.1@21123.direct.athenahealth.com
  • Direct secure messaging: hill_-_bryan_s_robinson_-_phy@yourcarecommunity.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1841403441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395358",
            "telephone_number": "850-398-8725",
            "fax_number": "850-398-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395358",
            "telephone_number": "850-634-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "DO0000001829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.