ELMER P BRESTAN


Address: 4724 N Davis Hwy, Pensacola, FL 32503-2339
Phone: 8506964000

ELMER P BRESTAN (NPI# 1801881222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801881222
Entity Type Individual
Full Name ELMER P BRESTAN
Credential MD
Practice Address 4724 N Davis Hwy
Pensacola
FL 32503-2339
Practice Telephone 8506964000
Practice Fax Number 8504447057
Mailing Telephone 8506964000
Mailing Fax Number 8504447057
Enumeration Date 2005-09-12
Last Update Date 2011-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
9306 AL Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0015703 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE PTAN 17472Y 01
FL 039662100 05

Office Location

Street Address 4724 N DAVIS HWY
City PENSACOLA
State FL
Zip Code 32503-2339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548869142 Sherry Leroy Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-10-23
1013522325 Florida Gulf Coast Anesthesia, LLC Anesthesiology 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-09-14
1639709835 Kaitlin Graye Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2020-01-16
1710443486 Kaitlyn Weaver Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2019-02-18
1750877791 Karen Lynn Atkins Dietitian, Registered 4724 N Davis Hwy, Pensacola, FL 32503-2339 2018-07-02
1497260400 Debbie Ann Sprague Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503 2017-12-13
1245761634 Charles Blay Internal Medicine 4724 N Davis Hwy, Pensacola, FL 32503-2339 2017-03-27
1538532692 Kaley Morris Physician Assistant 4724 N Davis Hwy, Pensacola, FL 32503 2015-11-10
1790167930 Jeana Varner Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2015-06-24
1174914832 Michael Brent Kiser Nurse Practitioner 4724 N Davis Hwy, Pensacola, FL 32503-2339 2015-02-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727472 Lauren Barrett Evans Nurse Practitioner 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 2020-10-09
1528666864 Kelsey Christine Kvartek Nurse Practitioner 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 2020-10-09
1730790551 Sacred Heart Hospital of Pensacola Podiatrist 1890 Summit Blvd, Pensacola, FL 32503 2020-08-14
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1275011744 Teresa T Jansen Registered Nurse 5051 Carpenters Creek Dr, Pensacola, FL 32503 2018-08-06
1639662729 Florida Physical Therapy Services of Pensacola, LLC Occupational Therapist 428 Airport Blvd, Pensacola, FL 32503 2018-06-13
1922595123 Touch of Love Home Health Care LLC Home Health 139 E Burgess Rd Ste B, Pensacola, FL 32503 2018-04-13
1770012106 Amber Mcclellan Occupational Therapist 4551 North Davis Highway, Suite C, Pensacola, FL 32503 2017-06-08
1780123885 Corinne Georgette-marie Carlson Registered Nurse 6809 White Oak Drive, Pensacola, FL 32503 2017-02-22
1538615232 Kristin E Patton Dietitian, Registered 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 2016-09-01
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083750962 Alexander Brown Internal Medicine 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 2007-01-29
1023379575 Nicholas M Drake Internal Medicine 1717 N E St Ste 231, Pensacola, FL 32501 2012-05-31
1851667109 Sweta Jonnalagadda Internal Medicine 1717 N E St Ste 231, Pensacola, FL 32501-6390 2012-03-30
1053584003 Dee Mcleod Internal Medicine 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 2008-04-10
1871762971 Lonnie Dean Miller Internal Medicine 1545 Airport Blvd Ste 2000, Pensacola, FL 32504 2008-02-22
1952528762 Michael Joseph Poiesz Internal Medicine 4724 N Davis Hwy, Pensacola, FL 32503-2339 2007-04-20
1356474548 Dany Naim El Sayah Internal Medicine 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 2007-03-14
1811047905 James F Watkins IIi Internal Medicine 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 2007-01-11
1558460626 Yazan Alsayed Internal Medicine 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 2006-09-22
1629086780 Sangeeta Bhagwatlal Amin Internal Medicine 1717 N E St Ste 231, Pensacola, FL 32501-6390 2006-08-04
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Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

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.

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