Active NPI
James E Zenel, M.D.
- Psychiatry Physician
- Brooksville, FL
National Provider Identifier
1003976671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME55998
- Practice address
- 14540 Cortez Blvd
Brooksville VA Community Based Clinic, Ste 108
Brooksville, FL 34613-6056 - Phone
- (352) 587-8287
- Fax
- (352) 597-7161
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME55998 | FL | Primary |
Addresses
Primary practice location
14540 Cortez Blvd
Brooksville VA Community Based Clinic, Ste 108
Brooksville, FL 34613-6056
Mailing address
14540 Cortez Blvd. Ste. 108
Brooksville VA Community Based Outpatient Clinic
Brooksville, FL 34613-0000
Phone (352) 597-8287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370464500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55998 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1003976671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14540 CORTEZ BLVD. STE. 108",
"address_2": "BROOKSVILLE VA COMMUNITY BASED OUTPATIENT CLINIC",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346130000",
"telephone_number": "352-597-8287",
"fax_number": "352-597-9816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 CORTEZ BLVD",
"address_2": "BROOKSVILLE VA COMMUNITY BASED CLINIC, STE 108",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136056",
"telephone_number": "352-587-8287",
"fax_number": "352-597-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENEL",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME55998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370464500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.