Individual provider Active NPI

Brian C. Fordham, MD

  • Anesthesiology Physician
  • Orange City, FL
National Provider Identifier
1942273107
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME91186 Issued in FL
Practice address
2777 Enterprise Rd
Orange City, FL 32763-8310
Phone
(386) 481-6289
Fax
(386) 481-6885
NPI assigned
Feb 8, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME91186 FL Primary
Anesthesiology Physician 207L00000X V8477 TX

Addresses

Primary practice location

2777 Enterprise Rd
Orange City, FL 32763-8310

Mailing address

2777 Enterprise Rd
Orange City, FL 32763-8310
Phone (386) 481-6289

Other practice location 1

2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258

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
I20070423000170 FL Practitioner - Anesthesiology 6305941204 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Florida Health Care Plan IncGroup PAC ID 9436201233, shared by 2 NPIs, 97 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

2777 Enterprise Rd
Orange City, FL 32763-8310
Phone (386) 774-2550

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91186FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Jun 1, 2013 Accepting new patients
Amsurg Port Orange Anesthesia, LLC Anesthesiology CurrentSince Nov 15, 2014 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jun 23, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 17, 2022 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Florida Health Care Plan, Inc CurrentSince Oct 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Florida Health Care Plan, Inc CurrentSince Oct 1, 2020 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Jun 14, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Endoscopic Anesthesia Group, P.a. Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
Space Coast Anesthesia Services LLC Anesthesiology CurrentSince Sep 19, 2018 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Sep 19, 2018 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Ahp of Central Florida ASC LLC Anesthesiology Past Accepting new patients
Anesthesia Outpatient Specialists Anesthesiology Past Accepting new patients

Locations (25 of 38)

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

651 W Plymouth Ave
Deland, FL 32720
Phone (386) 738-6811

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

291 Southhall Ln
Ste 201
Maitland, FL 32751
Phone (407) 687-0444

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

1053 Medical Center Dr
Orange City, FL 32763
Phone (386) 878-8080

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

2777 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-2550

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1817 N Mills Ave
Orlando, FL 32803
Phone (407) 241-3248

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

21 Hospital Dr
Ste 220
Palm Coast, FL 32164
Phone (386) 263-6020

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bfordham244192@direct.shands.ufl.edu

Organizations & group practices 25

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 25

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1942273107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638310",
            "telephone_number": "386-481-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638310",
            "telephone_number": "386-481-6289",
            "fax_number": "386-481-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "fax_number": "903-614-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDHAM",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME91186",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "V8477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.