BRIAN DANIELS (M.D.) – Pediatric Sports Medicine Physician, NPI 1780909606

BRIAN DANIELS (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME138351 (FL). The NPI Number for BRIAN DANIELS (M.D.) is 1780909606

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN DANIELS (M.D.)
NPI
1780909606
Phone
(904) 697-4127
Address
10140 CENTURION PKWY N
Enumeration Date
3 April 2010
Last Update Date
7 June 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4075674000
Graduation Year
2010 (16 years ago)
PAC ID
1355592874
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20190329001947
Address ID
FL328277884OR6535XPKWY300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:16State licenses:3Digital endpointsOther names

454 SPORTS MEDICINE in NY

Provider Addresses for BRIAN DANIELS (M.D.)

  • 10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322560532

    Phone: (904) 697-4127

    Fax: (904) 697-5102

    Type: Mailing

  • 2800 Marcus Ave

    New Hyde Park, NY 110421113

    Phone: (516) 622-6040

    Type: Location

  • Nemours Children's Hospital, 13535, Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827, United States

    ORLANDO, FL 32827

    Phone: (407) 567-4000

    Fax: (407) 567-5924

    Type: Location

  • 310 TAUGHANNOCK BLVD

    ITHACA, NY 148503251

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Reel Surgical, Inc. ($40).

Total Amount

$77

General + Research + Ownership

Payments

2

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

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: 2019-03-29

PECOS data refreshed: 2026-06-15

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
I20190329001947ISports MedicineFLTBD

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.

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

Insurance plans in this area (ZIP 32256)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
-DE
Diagnostic Radiology, Pediatric MedicinePA
-FL
Pediatric MedicineDE
-DE
Diagnostic RadiologyFL
Pediatric MedicineFL
Pulmonary Disease, Pediatric MedicineDE
Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

Is BRIAN DANIELS (M.D.) listed with a National Provider Identifier?
Yes — BRIAN DANIELS (M.D.) has NPI 1780909606 on file in the registry.
Is BRIAN DANIELS (M.D.) shown as active in public data?
Registry records indicate BRIAN DANIELS (M.D.) maintains an active NPI.
What kind of doctor is BRIAN DANIELS (M.D.)?
BRIAN DANIELS (M.D.) is associated with Pediatric Sports Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is BRIAN DANIELS (M.D.) located near Jacksonville?
BRIAN DANIELS (M.D.) currently maps to Jacksonville, Florida in this extract.
Does BRIAN DANIELS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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