Brian Patrick Joseph, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME64574 Issued in FL

Practice address

340 N Wymore Rd
Winter Park, FL 32789-2823

Phone

(407) 673-3223

Fax

(407) 772-3223

NPI assigned

Aug 3, 2006

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Joseph Plastic Surgery, PLC

  • Specialist
  • Winter Park, FL
  • NPI 1750418679
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1205843836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892823",
            "telephone_number": "407-673-3223",
            "fax_number": "407-772-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892823",
            "telephone_number": "407-673-3223",
            "fax_number": "407-772-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267080100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose V Lara, M.D., P.a.
• Joseph L. Trim, M.a., P.a.
• Joseph Plastic Surgery, PLC
• Annmarie Joseph, APRN
• Brenda Joseph
• Jasmain Kandice Joseph
• Rosa Jenelle Joseph, DO
• Serena Mary Joseph, MD
• Vaneta Joseph, MSW, RCSWI
• Journey's End Counseling, Consulting & Training, LLC

• Specialist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.