BRIAN J. KERBYSON D.O. – NPI #1417075300
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BRIAN KERBYSON is a physician located in PORT CHARLOTTE, FL. NPPES has assigned the NPI number 1417075300 to BRIAN KERBYSON on March 27, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 13 years ago on Oct 03, 2013. 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 BRIAN KERBYSON below.

NPI Profile for
BRIAN J. KERBYSON

NPI Number
1417075300
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN J. KERBYSON
Credentials
D.O.
Primary location
2450 TAMIAMI TRL
SUITE A
PORT CHARLOTTE, FL 33952-3922
Phone: (941) 627-7204 Fax: (941) 627-6066
Mailing address
3434 HANCOCK BRIDGE PKWY
N FT MYERS, FL 33903-7094
Phone: (877) 856-3774 Fax: (239) 599-2625
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRIAN KERBYSON

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
OTHERFL BCFL146TY
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
208D00000X
- General Practice (Primary)
FL 10734

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.