Individual provider Active NPI

Brian B Foster, PA-C

  • Surgical Physician Assistant
  • Tampa, FL
National Provider Identifier
1083977805
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9109238 Issued in FL
Practice address
14055 Riveredge Dr
Ste 250
Tampa, FL 33637-2141
Phone
(813) 929-5451
NPI assigned
Jun 18, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9109238 FL Primary
Diagnostic Radiology Physician 2085R0202X PA9109238 FL

Addresses

Primary practice location

14055 Riveredge Dr
Ste 250
Tampa, FL 33637-2141

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other identifiers 2

IdentifierTypeStateIssuer
ROEQZOtherFLFLORIDA BLUE
016688700MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000577 FL Practitioner - Physician Assistant 4385800382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

3001 W MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 443-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109238FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Coastal Care Corporation Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Interoperability endpoints

  • Direct secure messaging: bfoster5232542@adventhealth.direct-ci.com

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 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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1083977805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR",
            "address_2": "STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BRIAN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109238",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "PA9109238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "ROEQZ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016688700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.