Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Isiah Irizarry

Individual provider Physician Assistant · NPI 1205714813

Brandon Isiah Irizarry is a Physician Assistant in Fort Myers, Florida. Qualified in 2025, 1 year ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13681 Doctors Way, Fort Myers, FL 33912-4300 — (239) 343-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120906 (FL)

Record details

NPI number1205714813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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