LARRY FISHMAN M.D. – NPI #1720049968
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

LARRY FISHMAN is a physician located in BRANDON, FL. NPPES has assigned the NPI number 1720049968 to LARRY FISHMAN on March 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

The NPI profile was previously updated about 14 years ago on Feb 23, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY FISHMAN below.

NPI Profile for
LARRY FISHMAN

NPI Number
1720049968
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY FISHMAN
Credentials
M.D.
Primary location
427 S PARSONS AVE
SUITE 110
BRANDON, FL 33511-5291
Phone: (813) 653-2770 Fax: (813) 654-6668
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for LARRY FISHMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL048364800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)
FL ME0053007

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.