DR. BRYAN LEE WITT (NPI# 1508002726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508002726 |
Entity Type | Individual |
Full Name | DR. BRYAN LEE WITT |
Credential | D.O. |
Practice Address |
2171 Pine Ridge Rd Ste F Naples FL 34109-2002 |
Practice Telephone | 2393254090 |
Practice Fax Number | 2393254091 |
Mailing Telephone | 2393254090 |
Mailing Fax Number | 2393254091 |
Enumeration Date | 2008-12-17 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 5101020200 | MI | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
OS12609 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 34.010495 | OH | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FL BLUE | 1503LB | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
13211 Walsingham Rd, Largo, FL 337743518 | 7275968900 | 7275959209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447200282 | Bryan Dan Witt | Urology | 353 W 10th St, Hoisington, KS 67544-1715 | 2006-05-11 |
Street Address |
2171 PINE RIDGE RD STE F |
City | NAPLES |
State | FL |
Zip Code | 34109-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841720935 | Naples Orthopedics, Inc. | Orthopaedic Surgery | 2171 Pine Ridge Rd Ste F, Naples, FL 34109-2002 | 2017-06-13 |
1568774909 | Jerome Bobruff | Internal Medicine | 2171 Pine Ridge Rd Ste F, Naples, FL 34109-2002 | 2010-07-13 |
1073696787 | Robert Paul Christmann | Obstetrics & Gynecology | 2171 Pine Ridge Rd Ste F, Naples, FL 34109-2002 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
Find all providers in zip 34109 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
1104366939 | Nchmd Inc | Orthopaedic Surgery | 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 | 2017-02-27 |
1306954755 | Christina A. Kabbash | Orthopaedic Surgery | 6101 Pine Ridge Rd, Naples, FL 34119 | 2006-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
1457897829 | Ortho Florida, LLC | Orthopaedic Surgery | 825 E Burgess Rd, Pensacola, FL 32504-7001 | 2017-01-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.