Individual provider Active NPI

Brandon Colin Chircop

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1033679402
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS18231 Issued in FL
Practice address
6798 Crosswinds Dr N
St Petersburg, FL 33710-8603
Phone
(813) 474-9804
NPI assigned
Mar 22, 2019
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS18231 FL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X OS18231 FL Primary

Addresses

Primary practice location

6798 Crosswinds Dr N
St Petersburg, FL 33710-8603

Mailing address

201 14TH St SW
Largo, FL 33770-3133

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003001205 FL Practitioner - Internal Medicine 6608252424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 474-9804

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group Internal Medicine CurrentSince Jun 25, 2023 Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
QMC LLC Hospitalist Past Accepting new patients

Locations

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

203 N Marion St
Ste 3
Tampa, FL 33602

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1033679402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 CROSSWINDS DR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108603",
            "telephone_number": "813-474-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRCOP",
        "first_name": "BRANDON",
        "middle_name": "COLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS18231",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS18231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.