Active NPI
Joseph M Bryan, M.D.
- Anesthesiology Physician
- Ft Myers, FL
National Provider Identifier
1972506541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME0060770
- Practice address
- 4048 Evans Ave
Ste 303
Ft Myers, FL 33901-9390 - Phone
- (239) 332-5344
- Fax
- (239) 332-7246
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME0060770 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave
Ste 303
Ft Myers, FL 33901-9390
Mailing address
4048 Evans Ave
Ste 303
Ft Myers, FL 33901-9390
Phone (239) 332-5344
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14711 | Other | FL | BSFL NASCO |
| 370203100 | Other | FL | MEDICAID GENERIC HMO |
| 14711 | Other | FL | BSFL |
| 370203100 | Other | FL | MEDIPASS |
| 008001069 | Other | FL | CIGNA PPO |
| 14711 | Other | FL | BSFL OUT OF STATE |
| 14711Z | Other | FL | MEDICARE SECONDARY |
| 790532 | Other | FL | AETNA |
| 050027899 | Other | FL | MEDICARE RAILROAD |
| 14711Z | Other | FL | HOPE HOSPICE |
| 0867335 | Other | FL | CIGNA HMO |
| 14711 | Other | FL | BSFL HEALTH OPT |
| 278295 | Other | FL | AVMED HMO |
| 370203100 | Other | FL | CMS |
| 370203100 | Other | FL | MEDICAID CROSSOVER |
| 370203100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060770 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Jennifer Sassi PA | Past | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1972506541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "STE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019390",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "STE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019390",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0060770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL NASCO",
"identifier": "14711",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GENERIC HMO",
"identifier": "370203100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "14711",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPASS",
"identifier": "370203100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "008001069",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL OUT OF STATE",
"identifier": "14711",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SECONDARY",
"identifier": "14711Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "790532",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050027899",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOPE HOSPICE",
"identifier": "14711Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "0867335",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL HEALTH OPT",
"identifier": "14711",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED HMO",
"identifier": "278295",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "370203100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CROSSOVER",
"identifier": "370203100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370203100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.