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BRIAN TATUM
NPI 1669984167
Clinic/Center - Developmental Disabilities in Port St Lucie, FL

Active since October 25, 2017
6905 HERITAGE DR, PORT ST LUCIE, FL 34952(772) 370-5547 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Tatum NPPES

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

BRIAN TATUM (NPI 1669984167) is an individual developmental disabilities provider in Port St Lucie, Florida and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1669984167
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameBRIAN TATUM
Location Address6905 HERITAGE DRPort St Lucie, FL 34952-8227
Mailing Address4230 Sw Callicoe StPort Saint Lucie, FL 34953-3189 · (772) 370-5547
Phone(772) 370-5547
Sole ProprietorYes
Enumeration DateOctober 25, 2017
✔ NPI 1669984167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
6905 HERITAGE DR, Port St Lucie, FL 34952
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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 Brian Tatum's NPI number?

The NPI number for Brian Tatum is 1669984167. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Brian Tatum located?

Brian Tatum practices at 6905 Heritage Dr, Port St Lucie, FL 34952. The listed phone number is (772) 370-5547.

What is Brian Tatum's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Brian Tatum was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.