Individual provider Active NPI

Brandon Michael Kirsch, MD

  • Dermatology Physician
  • Naples, FL
National Provider Identifier
1861836389
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME120974 Issued in FL
Practice address
1012 Goodlette-Frank Rd N Ste 100
Naples, FL 34102-5463
Phone
(239) 300-9767
NPI assigned
Apr 26, 2013
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME120974 FL Primary

Addresses

Primary practice location

1012 Goodlette-Frank Rd N Ste 100
Naples, FL 34102-5463

Mailing address

1012 Goodlette-Frank Rd N Ste 100
Naples, FL 34102-5463
Phone (239) 300-9767

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
I20150914002553 FL Practitioner - Dermatology 9638310592 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DB Facial Plastic Surgery Inc CurrentSince Nov 6, 2025 Accepting new patients
Kirsch Mso LLC Dermatology CurrentSince Jan 1, 2025 Accepting new patients
Kirsch Mso LLC Dermatology CurrentSince Aug 1, 2018 Accepting new patients

Locations

1012 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 300-9767

1333 3rd Ave S
Ste 501
Naples, FL 34102
Phone (239) 300-9767

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1861836389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE-FRANK RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-300-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE-FRANK RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-300-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME120974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.