Jose A Berrios, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME25337 Issued in FL

Practice address

320 Oakfield Drive Suite D
Brandon, FL 33511-5742

Phone

(813) 657-1064

Fax

(813) 654-7105

NPI assigned

Sep 17, 2006

Last updated

Jun 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1033216676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335950105",
            "telephone_number": "813-657-1064",
            "fax_number": "813-654-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OAKFIELD DRIVE SUITE D",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115742",
            "telephone_number": "813-657-1064",
            "fax_number": "813-654-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME25337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066471500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard Goldstein PA
• Sylvia Bernatsky, O.D.
• Jennifer Marie Berndt, APRN
• Carlos Xavier Bernier, DC
• Maureen Berning, LM, CMP
• Kayla Berrios
• Pedro Berrios
• Ricardo Luis Berrios, M.D.
• Leanna Kristen Berry, DPT
• Stephanie Bert

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.