BRYAN H HEATH MD PA
NPI 1124328786
Specialist in New Smyrna Beach, FL

Active since October 29, 2010
308 PALMETTO ST, NEW SMYRNA BEACH, FL 32168(386) 957-3891(386) 957-3887 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bryan H Heath Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN H HEATH MD PA (NPI 1124328786) is a healthcare organization registered as a specialist in New Smyrna Beach, Florida and active in the NPI registry since October 2010. The organization lists Bryan H Heath, President, as its authorized official.

NPPES Registry Identity

NPI1124328786
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRYAN H HEATH MD PA
Location Address308 PALMETTO STNew Smyrna Beach, FL 32168-7136
Mailing AddressPo Box 36New Smyrna Beach, FL 32170-0036 · (386) 957-3891 · Fax (386) 957-3887
Fax(386) 957-3887
Organization SubpartNo
Authorized OfficialBryan H HeathPresident · (386) 957-3891
Enumeration DateOctober 29, 2010
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1124328786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
308 PALMETTO ST, New Smyrna Beach, FL 32168

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan H Heath Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20101108000906Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bryan H Heath MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1528091725
308 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 957-3891
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2085051

Dr Bryan Heath MD PA · New Smyrna Beach, FL
Expired · Oct 6, 2026
CLIA Number10D2085051
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorBryan H. Heath
Laboratory Phone(386) 957-3891
Laboratory LocationDr Bryan Heath MD PA308 Palmetto St, New Smyrna Beach, FL 32168
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan H Heath MD PA's NPI number?

The NPI number for Bryan H Heath MD PA is 1124328786. It was assigned to this organization in the NPPES registry on October 29, 2010.

Where is Bryan H Heath MD PA located?

Bryan H Heath MD PA is located at 308 Palmetto St, New Smyrna Beach, FL 32168. The listed phone number is (386) 957-3891.

What is Bryan H Heath MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bryan H Heath MD PA enrolled in Medicare?

Yes. Bryan H Heath MD PA is registered in the Medicare PECOS enrollment system.

When is Bryan H Heath MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bryan H Heath MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Bryan H Heath MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bryan H Heath MD PA was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.