Organization Active NPI

Preferred Injury Physicians of Brandon Inc.

  • Clinic/Center
  • Brandon, FL
National Provider Identifier
1225580558
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH10487 Issued in FL
Legal business name
PREFERRED INJURY PHYSICIANS OF BRANDON INC.
Practice address
1355 Oakfield Drive
Brandon, FL 33511
Phone
(813) 900-7246
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Dr. Ronald Jack Travis Utter, D.C.
Title
Owner
Phone
(407) 509-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH10487 FL Primary

Addresses

Primary practice location

1355 Oakfield Drive
Brandon, FL 33511

Mailing address

1355 Oakfield Drive
Brandon, FL 33511
Phone (813) 900-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1225580558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-900-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-900-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED INJURY PHYSICIANS OF BRANDON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "UTTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JACK TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-509-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH10487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.