Active NPI
Hung Van Tran, MD
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1124125133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49644
- Practice address
- 480 Busch Dr
Jacksonville, FL 32218-5553 - Phone
- (904) 714-1330
- Fax
- (904) 714-4270
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49644 | FL | Primary |
Addresses
Primary practice location
480 Busch Dr
Jacksonville, FL 32218-5553
Mailing address
480 Bush Drive
Jacksonville, FL 32218-5553
Phone (904) 714-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49644 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1124125133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 BUSH DRIVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185553",
"telephone_number": "904-714-1330",
"fax_number": "904-714-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 BUSCH DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185553",
"telephone_number": "904-714-1330",
"fax_number": "904-714-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "HUNG",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "49644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.