BRETT CHRISTOPHER PUCKETT (NPI# 1831150960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831150960 |
| Entity Type | Individual |
| Full Name | BRETT CHRISTOPHER PUCKETT |
| Credential | M.D. |
| Practice Address |
2627 Riverside Ave Suite 300 Jacksonville FL 32204-4712 |
| Mailing Address |
6500 Bowden Rd Suite 103 Jacksonville FL 32216-8070 |
| Practice Telephone | 9046340640 |
| Practice Fax Number | 9046340203 |
| Mailing Telephone | 9046340640 |
| Mailing Fax Number | 9046340203 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME91111 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME91111 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 653620401A | 05 | |
| FL | RAILROAD MEDICARE | P00255887 | 01 |
| FL | 2704111-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830152 | Brett Daniel Puckett | Specialist/Technologist | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2014-12-09 |
| Street Address |
2627 RIVERSIDE AVE SUITE 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575052 | Belton Craig Ray | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2005-08-22 |
| 1215549316 | Renee E Alten | Student in an Organized Health Care Education/Training Program | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-08-19 |
| 1114538634 | Faradia Pierre | Student in an Organized Health Care Education/Training Program | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-08-10 |
| 1841817772 | Kelsey Rhae Williams | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1477170488 | Lisa Michelle Alley | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1104443126 | Verniecea J Harris | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1508483421 | Lacey J Rokita | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1497372320 | Annika Tabassum | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1023635943 | Yvonne Nyakio Kamau | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1114542859 | Olivia Michelle Bullock | Student in an Organized Health Care Education/Training Program | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648770 | John C Crick | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4368 | 2005-09-01 |
| 1144307224 | Georgia Lee Gill | Orthopaedic Surgery | 2549 Park St, Jacksonville, FL 32204-4517 | 2006-11-01 |
| 1174615918 | Southeastern Hand Center, P.a. | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 202, Jacksonville, FL 32216-4368 | 2006-09-29 |
| 1316038615 | Jack Leeland Greider Jr. | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 202, Jacksonville, FL 32216-4368 | 2006-09-28 |
| 1932204989 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 | 2006-09-14 |
| 1548279326 | Christopher R. Goll | Orthopaedic Surgery | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943787 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 582 Nw University Blvd Ste 100, Port St Lucie, FL 34986-2264 | 2018-05-22 |
| 1851630057 | Sacred Heart Hospital of Pensacola | Orthopaedic Surgery | 4551-a North Davis Hwy, Pensacola, FL 32503-2782 | 2013-02-07 |
| 1376808188 | Sonya Khurana | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 1, Coral Gables, FL 33146-1174 | 2012-07-08 |
| 1962766576 | Sarasota Orthopedic Associates, LLC | Orthopaedic Surgery | 6230 University Pkwy, Suite 203, Lakewood Ranch, FL 34240-8604 | 2012-06-28 |
| 1194091488 | Giacomo Luis Cappelleti | Orthopaedic Surgery | 8905 Sw 87th Ave Ste 100, Miami, FL 33176-2210 | 2012-03-30 |
| 1053681791 | Kathryn Anne Henderson Heim | Orthopaedic Surgery | 2850 N Federal Hwy, 2nd Floor, Lighthouse Point, FL 33064 | 2012-01-11 |
| 1720378144 | Orthopaedic Associates Usa, Pa | Orthopaedic Surgery | 4765 Sw 148th Avenue, Suite 401, Davie, FL 33330-2128 | 2011-04-19 |
| 1861781239 | Karan A Desai | Orthopaedic Surgery | 17000 Porter Rd Ste 205, Winter Garden, FL 34787-8915 | 2011-04-06 |
| 1598085961 | Ajul Shah | Orthopaedic Surgery | 603 7th St S Ste 440, Saint Petersburg, FL 33701 | 2010-06-08 |
| 1538484985 | The Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 7445 Sw 127th St, Miami, FL 33156-5337 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| 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.