Individual provider Active NPI

David Bryan Preston Sr., D.C., ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1013933787
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9322426 Issued in FL
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

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70759OtherMEDICARE
ARNP9322426OtherFLFLORIDA LICENSE
CH0005153OtherFLFLORIDA LICENSE NUMBER
050430101MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000676 FL Practitioner - Chiropractic 9537208350 Reassigns benefits to 1 organization
I20140326001660 FL Practitioner - Nurse Practitioner 9537208350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005153FLMDChiropractor
ARNP9322426FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Wellness Center, Inc. Chiropractor CurrentSince Sep 1, 2009 Accepting new patients
Bay Area Wellness & Healthcare, Inc Chiropractor CurrentSince Jan 2, 2022 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.

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

Verify at the official NPI Registry.