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

Bryan R Lopez Ortiz

Individual provider Physician Assistant · NPI 1326817388

Bryan R Lopez Ortiz is a Physician Assistant in Cape Coral, Florida. Qualified in 2023, 3 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

708 Del Prado Blvd S Ste 9
Cape Coral, FL 33990-2633
Phone: (239) 424-2440
Fax: (239) 343-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 — (239) 424-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118453 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1326817388
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 1, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cape Coral