Active NPI
David Bryan Preston Sr., D.C., ARNP
- Family Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1013933787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9322426
- Practice address
- 3600 1St Ave N
St Petersburg, FL 33713-8407 - Phone
- (727) 327-4522
- Fax
- (727) 327-8069
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0005153 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9322426 | FL | Primary |
Addresses
Primary practice location
3600 1St Ave N
St Petersburg, FL 33713-8407
Mailing address
3600 1St Ave N
St Petersburg, FL 33713-8407
Phone (727) 327-4522
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70759 | Other | MEDICARE | |
| ARNP9322426 | Other | FL | FLORIDA LICENSE |
| CH0005153 | Other | FL | FLORIDA LICENSE NUMBER |
| 050430101 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005153 | FL | MD | Chiropractor |
| ARNP9322426 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Wellness Center, Inc. | Chiropractor | Current | Accepting new patients |
| Bay Area Wellness & Healthcare, Inc | Chiropractor | Current | Accepting new patients |
| Bay Area Healthcare, Inc | Past | Accepting new patients | |
| SC Physicians LLC | Past | Accepting new patients |
Locations
3600 1st Ave N
St Petersburg, FL 33713
Phone (727) 327-4522
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- St Petersburg, FL
- NPI 1730322199
-
- Chiropractor
- St Petersburg, FL
- NPI 1760147532
-
- Multi-Specialty Clinic/Center
- St Petersburg, FL
- NPI 1427490135
-
- Ambulatory Surgical Clinic/Center
- St Petersburg, FL
- NPI 1346549292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1013933787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138407",
"telephone_number": "727-327-4522",
"fax_number": "727-327-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138407",
"telephone_number": "727-327-4522",
"fax_number": "727-327-8069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "DAVID",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.C., ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005153",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9322426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "70759",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ARNP9322426",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE NUMBER",
"identifier": "CH0005153",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050430101",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.