BRUCE A. PATZWAHL (PA-C) – Surgical Physician Assistant, NPI 1194787804

BRUCE A. PATZWAHL (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA1782 (FL). The NPI Number for BRUCE A. PATZWAHL (PA-C) is 1194787804

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE A. PATZWAHL (PA-C)
NPI
1194787804
Phone
(239) 432-0774
Address
12700 CREEKSIDE LN
Enumeration Date
6 April 2006
Last Update Date
12 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414320774
Graduation Year
1983 (43 years ago)
PAC ID
1153446331
Group Practice PAC ID
5193618767
Professional Enrollment ID
I20100910000764
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for BRUCE A. PATZWAHL (PA-C)

  • 12700 CREEKSIDE LN

    SUITE 101

    FORT MYERS, FL 339193356

    Phone: (239) 432-0774

    Fax: (239) 432-9404

    Type: Location

  • 632, Del Prado Boulevard North, Cape Coral, Lee County, Florida, 33909, United States

    SUITE 101

    CAPE CORAL, FL 339092278

    Phone: (239) 772-5577

    Fax: (239) 772-9961

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33919)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193618767View full group profile
NameSpecialtyState
-FL
-FL
Physical Medicine And Rehabilitation, Pain ManagementFL
-FL
-FL

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Frequently asked questions

Does BRUCE A. PATZWAHL (PA-C) have a public NPI I can cite?
Public records show BRUCE A. PATZWAHL (PA-C) under NPI 1194787804.
Does the public listing show BRUCE A. PATZWAHL (PA-C) as active?
BRUCE A. PATZWAHL (PA-C)'s NPI record reflects an active status in NPPES.
What services align with BRUCE A. PATZWAHL (PA-C)'s listing?
BRUCE A. PATZWAHL (PA-C)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRUCE A. PATZWAHL (PA-C) tied to Fort Myers, Florida?
If you are local to Fort Myers, Florida, BRUCE A. PATZWAHL (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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