Indian River Assisting Services PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3641 Issued in FL

Legal business name

INDIAN RIVER ASSISTING SERVICES PA

Practice address

1000 36TH St
Vero Beach, FL 32960-4862

Phone

(772) 713-7231

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Trent Smith Brister, PANPI 1316912843

Title

President

Phone

(772) 713-7231

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent Smith Brister, P.A.-C

  • Surgical Physician Assistant
  • Vero Beach, FL
  • NPI 1316912843
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1093873226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643264",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329643264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-713-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER ASSISTING SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "BRISTER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-713-7231",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD8238",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ickowski
• Adriana Iglesias
• Lubka B. Ilieva, D.O.
• Latia Holder Ilyadis, D.O.
• Imagine Schools at South Vero
• Indian River Cardiac Rehab Inc
• Indian River Cardiology PA
• Indian River Coordinators
• Indian River Coordinators, Inc.
• Indian River County Healthy Start Coalition, Inc

• Surgical Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.