MEDICARE: MR. BRIAN R WEBSTER P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1237	CO

General Provider Information

NPI Number	:	1164580536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN R WEBSTER P.A.

Provider Business Mailing Address
First Line	:	12101 HIGHWAY 61
Second Line	:
City	:	STERLING
State	:	CO
Zip	:	80751-8428
Country	:	US
Telephone Number	:	970-521-8858
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 TAMIAMI TRAIL
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33953
Country	:	US
Telephone Number	:	941-391-5296
Fax Number	:	941-391-5297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1295668853 — CAMERON MARIA LIGHT LM CPM
Practice Location Address:

950 TAMIAMI TRL UNIT 101
PORT CHARLOTTE, FL
33953-3102

Practice Phone: 941-249-4915
Practice Fax:

1528069192 — CARDINAL PROSTHETICS & ORTHOTICS INC
Practice Location Address:

779 TAMIAMI TRAIL , STE 8
PORT CHARLOTTE, FL
33953

Practice Phone: 941-235-0252
Practice Fax: 941-235-7273

1194740902 — PATIENT CARE PHARMACY SERVICES, INC.
Practice Location Address:

1476 MARKET CIR , STE A
PORT CHARLOTTE, FL
33953-3876

Practice Phone: 941-473-3200
Practice Fax: 941-473-3209

1831118611 — DR. MARIANNE BERNADETTE JACOBS D.O.
Practice Location Address:

3109 SILKWOOD LN
PORT CHARLOTTE, FL
33953-5686

Practice Phone: 615-345-5400
Practice Fax:

1477658755 — CRAIG J BENTON DC
Practice Location Address:

687 TAMIAMI TRL
PORT CHARLOTTE, FL
33953-2903

Practice Phone: 941-743-9904
Practice Fax: 941-743-9905

1457423972 — PATIENT CARE PHARMACY SERVICES INC
Practice Location Address:

1476 MARKET CIR , UNIT 1
PORT CHARLOTTE, FL
33953-3876

Practice Phone: 941-255-1987
Practice Fax: 941-629-5507

Directions to “ MR. BRIAN R WEBSTER P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.