Active NPI
Brandon S Fletcher, M.D.
- Family Medicine Physician
- Longwood, FL
National Provider Identifier
1982897112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME115245
- Practice address
- 771 Ciara Creek CV
Longwood, FL 32750-4659 - Phone
- (407) 543-1270
- Fax
- (407) 813-1311
- NPI assigned
- Aug 21, 2007
- Last updated
- Jun 18, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME115245 | FL | Primary |
Addresses
Primary practice location
771 Ciara Creek CV
Longwood, FL 32750-4659
Mailing address
771 Ciara Creek CV
Longwood, FL 32750-4659
Phone (407) 543-1270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115245 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Medical Associates, PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- drfletcher@primarycareathome.officeally.direct
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Pikeville, NC
- NPI 1922045673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1982897112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 CIARA CREEK CV",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504659",
"telephone_number": "407-543-1270",
"fax_number": "407-813-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 CIARA CREEK CV",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504659",
"telephone_number": "407-543-1270",
"fax_number": "407-813-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "BRANDON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME115245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
- First Solution
- First Step Care LLC
- First Step Therapy LLC
- Patricia Ann Fischer, M.S.
- Leah Fitten, MS
- Kaylin Flores
- Florida Facilitists, LLC
- Florida Hospital DME/RT, LLC (AdventHealth Respiratory and Equipment Florida)
- Florida Hospital Home Infusion, LLP (AdventHealth Home Infusion Central Florida)
- Florida Injury Longwood, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.