Individual provider Active NPI

Jaime R. Gierbolini, M. D.

  • Neurology Physician
  • Riverview, FL
National Provider Identifier
1023391059
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME125107 Issued in FL
Practice address
10141 Big Bend Rd Ste 206
Riverview, FL 33578-7422
Phone
(813) 397-1274
Fax
(813) 605-6003
NPI assigned
Sep 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28753-R PR
Neurology Physician 2084N0400X ME125107 FL Primary

Addresses

Primary practice location

10141 Big Bend Rd Ste 206
Riverview, FL 33578-7422

Mailing address

10141 Big Bend Rd Ste 206
Riverview, FL 33578-7422
Phone (813) 397-1274

Other identifiers 1

IdentifierTypeStateIssuer
021969100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaime.gierbolini@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607000965 FL Practitioner - Neurology 6204126063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

10141 Big Bend Rd
Suite 206
Riverview, FL 33578-7422
Phone (813) 879-5010

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

6901 Simmons Loop
Riverview, FL 33578-9498

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125107FLMDNeurology Physician
28753-RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP Neurology CurrentSince Oct 1, 2017 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Baycare Medical Group, Inc. Neurology CurrentSince Aug 14, 2017 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

10141 Big Bend Rd
Ste 206
Riverview, FL 33578
Phone (813) 321-6580

2919 W Swann Ave
Ste 401
Tampa, FL 33609
Phone (813) 872-1548

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1023391059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 BIG BEND RD STE 206",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787422",
            "telephone_number": "813-397-1274",
            "fax_number": "813-605-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 BIG BEND RD STE 206",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787422",
            "telephone_number": "813-397-1274",
            "fax_number": "813-605-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERBOLINI",
        "first_name": "JAIME",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "28753-R",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME125107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021969100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaime.gierbolini@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.