DR. DANIEL HEATH BRODTMAN (NPI# 1881705390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881705390 |
| Entity Type | Individual |
| Full Name | DR. DANIEL HEATH BRODTMAN |
| Credential | D.O. |
| Practice Address |
1447 Medical Park Blvd Suite 406 Wellington FL 33414-3164 |
| Practice Telephone | 5617952006 |
| Practice Fax Number | 5617958598 |
| Mailing Telephone | 5617952006 |
| Mailing Fax Number | 5617958598 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | OS8623 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREPLUS HMO PROVIDER NO. | 1046965 | 01 | |
| AMERIGROUP PROVIDER NUMBE | 112567 | 01 | |
| AVMED CHOICE PROVIDER NO. | 293152 | 01 | |
| FL | 009789500 | 05 | |
| CIGNA PROVIDER NUMBER | 1412142001 | 01 | |
| FIRST HEALTH PROVIDER NO. | 1999822 | 01 | |
| BLUE CROSS PROVIDER NO. | 71556 | 01 | |
| DIMENSION | 9974 | 01 | |
| AETNA HMO PROVIDER NUMBER | 2865377 | 01 | |
| AETNA PPO PROVIDER NUMBER | 7592247 | 01 | |
| HEALTH EASE PROVIDER NO. | 207962 | 01 | |
| NEIGHBORHOOD HEALTH PROV. | 41608 | 01 | |
| OXFORD HEALTH PROVIDER NO | P2799312 | 01 | |
| AMERIHEALTH PROVIDER NO. | 405674 | 01 | |
| WELLCARE PROVIDER NUMBER | 207962 | 01 |
| Street Address |
1447 MEDICAL PARK BLVD SUITE 406 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1942653274 | Amanda Kane | Nurse Practitioner | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2016-07-21 |
| 1215319645 | Medical Park Surgery Center LLC | Clinic/Center | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2015-06-22 |
| 1548657216 | Florida Surgical Associates LLC | Specialist | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2015-04-21 |
| 1811309867 | Allergy and Asthma Specialists of South Florida LLC | Allergy & Immunology | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2014-05-27 |
| 1447694948 | Majesty Medical Associates LLC | Internal Medicine | 1447 Medical Park Blvd, Suite 405, Wellington, FL 33414-3164 | 2013-04-26 |
| 1699018838 | Stacha-keimone Kayana Newell | Nurse Practitioner | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2013-04-05 |
| 1639443534 | Jeroen Balledux Md LLC | Plastic Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2012-02-24 |
| 1629356357 | Danni Driscoll Md Pa | Anesthesiology | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-07-29 |
| 1437453180 | Fakhoury, Md, LLC | Neurological Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811309867 | Allergy and Asthma Specialists of South Florida LLC | Allergy & Immunology | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1528604253 | Mark Minor Md Pa | Allergy & Immunology | 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 | 2019-11-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on DR. DANIEL HEATH BRODTMAN.
| 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.