Organization Active NPI

Concierge Care of Tampa Bay, LLC

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1245589555
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME49552 Issued in FL
Legal business name
CONCIERGE CARE OF TAMPA BAY, LLC
Practice address
500 Vonderburg Dr Ste 214
Brandon, FL 33511-5969
Phone
(813) 689-2961
Fax
(813) 219-8016
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Chris Nussbaum, MDNPI 1306869391
Title
Physician
Phone
(813) 689-2961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME49552 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr Ste 214
Brandon, FL 33511-5969

Mailing address

500 Vonderburg Dr Ste 214
Brandon, FL 33511-5969
Phone (813) 689-2961

National Provider Directory

National Provider Directory
Tax ID family
Concierge Care of Tampa Bay LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 E Robertson St
Brandon, FL 33511
Phone (813) 653-3391

500 Vonderburg Dr
Ste 214
Brandon, FL 33511
Phone (813) 685-5555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1245589555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 214",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115969",
            "telephone_number": "813-689-2961",
            "fax_number": "813-219-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 214",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115969",
            "telephone_number": "813-689-2961",
            "fax_number": "813-219-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF TAMPA BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-689-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49552",
            "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 May 6, 2026; 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.