Individual provider Active NPI

Bevin Patricia Weeks, MD

  • Pediatric Cardiology Physician
  • St Petersburg, FL
National Provider Identifier
1124003686
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME129318 Issued in FL
Practice address
601 5TH St S Ste 2
St Petersburg, FL 33701
Phone
(727) 767-3333
Fax
(727) 767-8990
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME129318 FL Primary

Addresses

Primary practice location

601 5TH St S Ste 2
St Petersburg, FL 33701

Mailing address

601 5TH St S Ste 2
St Petersburg, FL 33701-4804
Phone (727) 767-3333

Other practice location 1

20 York St
YNHH Children's Hospital, West Pavilion, 2nd Fl
New Haven, CT 06510-3220
Phone (203) 785-4081

Other practice location 2

1675 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-1572

Other practice location 3

1675 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-1572

Other identifiers 1

IdentifierTypeStateIssuer
021913300MedicaidFL

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
I20170928003333 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0345270435 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
The Nemours Foundation CurrentSince Dec 11, 2021 Accepting new patients
The Nemours Foundation CurrentSince Dec 11, 2021 Accepting new patients
Pediatric Physician Services, Inc. Pediatric Cardiology PastSince Oct 27, 2019 Accepting new patients
All Children'S OB/GYN Specialists PastSince Oct 27, 2019 Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

922 Mar Walt Dr
Ste 100
Ft Walton Bch, FL 32547
Phone (850) 226-4785

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2202 State Ave
Panama City, FL 32405
Phone (850) 785-1401

1675 Trinity Dr
Pensacola, FL 32504
Phone (850) 416-1575

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700

5153 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-1575

8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700

Organizations & group practices 6

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1124003686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 5TH ST S STE 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014804",
            "telephone_number": "727-767-3333",
            "fax_number": "727-767-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST S STE 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-767-3333",
            "fax_number": "727-767-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_2": "YNHH Children's Hospital, West Pavilion, 2nd Fl",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-785-4081",
            "fax_number": "203-785-3833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Trinity Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325045708",
            "country_code": "US",
            "telephone_number": "850-416-1572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Trinity Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325045708",
            "country_code": "US",
            "telephone_number": "850-416-1572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "BEVIN",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME129318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021913300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.