Individual provider Active NPI

James E Zenel, M.D.

  • Psychiatry Physician
  • Brooksville, FL
National Provider Identifier
1003976671
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME55998 Issued in FL
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

Updated by the provider on Apr 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
370464500MedicaidFL

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME55998FLMDPsychiatry 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

Verify at the official NPI Registry.