BRYANT MAXWELL – Physician Assistant, NPI 1275005977

BRYANT MAXWELL is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9111520 (FL). The NPI Number for BRYANT MAXWELL is 1275005977

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRYANT MAXWELL
NPI
1275005977
Phone
(863) 853-3331
Address
6500 N SOCRUM LOOP RD # 100
Enumeration Date
19 December 2018
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419070222
Graduation Year
2018 (8 years ago)
PAC ID
0345589271
Group Practice PAC ID
9739106584
Professional Enrollment ID
I20190311002150
Address ID
FL342026417LA8926XEXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for BRYANT MAXWELL

  • North Socrum Loop Road, Lakeland, Polk County, Florida, 33809, United States

    LAKELAND, FL 338094179

    Phone: (863) 853-3331

    Type: Location

  • 8926 77TH TER E UNIT 101

    LAKEWOOD RANCH, FL 342026417

    Phone: (941) 907-0222

    Fax: (941) 907-0493

    Type: Location

  • 516, Virginia Lane, Clearwater, Pinellas County, Florida, 33764, United States

    CLEARWATER, FL 337646261

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,004.

Total Amount is formed as General ($1,004) + Research ($0) + Ownership ($0) = $1,004.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Janssen Biotech, Inc. ($374).

Total Amount

$1,004

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,004

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190311002150IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,968323$0
99213Established patient office or other outpatient visit, 20-29 minutes898602$0
17000Destruction of precancer skin growth, 1 growth591427$0
11102Biopsy of related skin growth, first growth585439$0
11103Biopsy of related skin growth, each additional growth480221$0
View full utilization report →

Insurance plans in this area (ZIP 33809)

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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: 9739106584View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantNY
Physician AssistantFL
Physician AssistantKS
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantPA

Reviews

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Frequently asked questions

What identifier follows BRYANT MAXWELL across health systems?
The NPI 1275005977 uniquely identifies BRYANT MAXWELL in U.S. healthcare data.
Is BRYANT MAXWELL currently accepting referrals based on NPI status?
Registry metadata lists BRYANT MAXWELL as active.
What services align with BRYANT MAXWELL's listing?
BRYANT MAXWELL's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to BRYANT MAXWELL?
The directory associates BRYANT MAXWELL with Lakeland, Florida. Check all listed addresses for suites or satellite offices.
Who maintains BRYANT MAXWELL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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