Individual provider Active NPI

Candace Breznau, M.D.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1053792747
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME140554 Issued in FL
Practice address
7050 Ulmerton Rd
Largo, FL 33771-5003
Phone
(727) 777-4540
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME140554 FL Primary
Family Medicine Physician 207Q00000X 0116028492 VA

Addresses

Primary practice location

7050 Ulmerton Rd
Largo, FL 33771-5003

Mailing address

7050 Ulmerton Rd
Largo, FL 33771-5003
Phone (727) 777-4540

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
I20191022001765 FL Practitioner - Hospice/Palliative Care 2567712334 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140554FLMDFamily Medicine Physician
0116028492VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chapters Health Palliative Care, LLC CurrentSince Sep 4, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

7050 Ulmerton Rd
Largo, FL 33771
Phone (727) 777-4540

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183

12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

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.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1053792747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715003",
            "telephone_number": "727-777-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715003",
            "telephone_number": "727-777-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZNAU",
        "first_name": "CANDACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME140554",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116028492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.