DR. BRET J MACDERMOTT (NPI# 1417035940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417035940 |
| Entity Type | Individual |
| Full Name | DR. BRET J MACDERMOTT |
| Credential | DC, DACS |
| Practice Address |
2940 Mallory Cir Ste 205 Celebration FL 34747-1818 |
| Practice Telephone | 4075076976 |
| Practice Fax Number | 8888084097 |
| Mailing Telephone | 4075076976 |
| Mailing Fax Number | 8888084097 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH9737 | FL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 1618 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE INDIVIDUAL | C0580Z | 01 |
| FL | BCBS | 2201B | 01 |
| Street Address |
2940 MALLORY CIR STE 205 |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676855 | Sergio Mauricio Trevino De Lascurain | Dentist | 2940 Mallory Cir, Celebration, FL 34747 | 2019-06-05 |
| 1487057014 | Platinum Dental Group | Dentist | 2940 Mallory Cir, Suite 101, Celebration, FL 34747-1818 | 2014-09-26 |
| 1295074185 | Proact Health Solutions Inc | Clinic/Center | 2940 Mallory Cir, Suite 201, Celebration, FL 34747-1818 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689902199 | Macdermott Group, LLC | Chiropractor | 1530 Celebration Blvd Ste 403, Celebration, FL 34747-5165 | 2009-11-20 |
| 1730336181 | Dr. Jennifer S. Drapp, D.c., P.a. | Chiropractor | 1160b Wilde Dr, Celebration, FL 34747-4048 | 2008-08-27 |
| 1952524977 | Jason A Mcwhirter | Chiropractor | 43 Blake Blvd, Celebration, FL 34747-5415 | 2007-04-10 |
| 1669496253 | Sheri Lerner | Chiropractor | 604 Front St, Celebration, FL 34747-4675 | 2006-07-27 |
| 1922022490 | Stephen M Brenan | Chiropractor | 610 Sycamore St, Suite 230, Celebration, FL 34747-4995 | 2006-07-27 |
| 1083231401 | Dishman Chiropractic and Wellness Center Inc | Chiropractor | 605 Celebration Ave, Celebration, FL 34747-4690 | 2020-07-01 |
| 1750870044 | Kevin Apel | Chiropractor | 604 Front St, Celebration, FL 34747-4675 | 2018-05-02 |
| 1700288040 | Celebration Family Chiropractic Clinic Inc | Chiropractor | 604 Front St, Celebration, FL 34747-4675 | 2014-09-18 |
| 1194034512 | Peak Health & Business Solutions, LLC | Chiropractor | 610 Sycamore St, Suite 230, Celebration, FL 34747-4995 | 2010-10-04 |
| 1588987531 | Ana Chamberlain | Chiropractor | 604 Front St, Celebration, FL 34747-4675 | 2010-03-04 |
| Find all providers in CELEBRATION | ||||
| City | CELEBRATION |
| Zip Code | 34747 |
Please comment or provide details below to improve the information on DR. BRET J MACDERMOTT.
| 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.