Brian G Martin (NPI# 1235197211, PAC ID# 8224044599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235197211 |
| PAC ID by PECOS | 8224044599 |
| Professional Enrollment ID | I20100818001021 |
| Full Name | Brian G Martin |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
4755 Summerlin Rd Suite 8 Fort Myers FL 33919-1073 |
| Phone Number | 2392755339 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 | 2392755339 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
4755 SUMMERLIN RD SUITE 8 |
| City | FORT MYERS |
| State | FL |
| Zip | 33919-1073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Tapia | Internal Medicine | Millennium Physician Group LLC | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 |
| Lakshmi Bushan | Internal Medicine | Millennium Physician Group LLC | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 |
| Ann L Kurn | Nurse Practitioner | Millennium Physician Group LLC | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 |
| Scott L Geller | Ophthalmology | 4755 Summerlin Rd, Suite 1, Fort Myers, FL 33919-1073 | |
| Norman J Arons | Optometry | 4755 Summerlin Rd, Suite 1, Fort Myers, FL 33919-1073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naser Kamkar | Family Medicine | 4575 Via Royale, Suite 216, Fort Myers, FL 33919-1019 | |
| Adelene Frances Tolisano | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Carlie M Black | Physician Assistant | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Sharon L Spoede | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Robert M Mandelkorn | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Robin Thad Goodwin | Ophthalmology | 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068 | |
| Joseph G Magnant | Vascular Surgery | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Tanner | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Jill Layman | Nurse Practitioner | Vein Specialists At Royal Palm Square Inc | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 |
| Cecile Saint Paul | Obstetrics/gynecology | 1412 Royal Palm Square Blvd, Suite 102, Fort Myers, FL 33919-1075 | |
| Find all physicians in zip 33919 | |||
| City | FORT MYERS |
| Zip Code | 33919 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORT MYERS + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.