Organization Active NPI

Cerebrum Healthcare LLC

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1255849055
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CEREBRUM HEALTHCARE LLC
Practice address
3225 S Macdill Ave Ste 129-300
Tampa, FL 33629-8171
Phone
(813) 441-6803
Fax
(813) 524-6352
NPI assigned
Jan 15, 2018
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Bhavin Patidar, MDNPI 1114253796
Title
President
Phone
(813) 441-6803

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

3225 S Macdill Ave Ste 129-300
Tampa, FL 33629-8171

Mailing address

3225 S Macdill Ave Ste 129-300
Tampa, FL 33629-8171
Phone (813) 441-6803

Other identifiers 1

IdentifierTypeStateIssuer
011056550MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019000954 FL Part B Supplier - Clinic/Group Practice 8729341847 Receives reassigned benefits from 23 practitioners

National Provider Directory

National Provider Directory

Locations

980 Gateway Dr
Altamonte Springs, FL 32714
Phone (321) 989-3104

7411 Cortez Oaks Blvd
Brooksville, FL 34613
Phone (352) 657-1882

3055 Union St
Clearwater, FL 33759
Phone (727) 260-2826

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

6433 Gasparilla Pines Blvd
Grove City, FL 34224
Phone (941) 697-0817

1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400

300 Highland Ave N
#A
Largo, FL 33770
Phone (727) 559-8411

6940 Outreach Way
North Port, FL 34287
Phone (941) 426-8411

250 S Chickasaw Trl
#E
Orlando, FL 32825
Phone (407) 380-3466

830 29th St
Orlando, FL 32805
Phone (407) 843-3230

12427 County Road 101
#A
Oxford, FL 34484
Phone (352) 268-3535

8980 49th St N
Pinellas Park, FL 33782
Phone (727) 546-4053

11202 Dewhurst Dr
Riverview, FL 33578
Phone (813) 413-8900

9300 Antilles Dr
Seminole, FL 33776
Phone (727) 517-7800

1255 Pasadena Ave S
Ste C
South Pasadena, FL 33707
Phone (727) 576-8900

3190 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 345-9111

3910 Galen Ct
Sun City Center, FL 33573
Phone (813) 633-4340

10840 Sheldon Rd
Ste A
Tampa, FL 33626
Phone (813) 792-1113

3223 S Macdill Ave
Tampa, FL 33629

3225 S Macdill Ave
Tampa, FL 33629
Phone (813) 451-0013

3225 S Macdill Ave
Ste 129
Tampa, FL 33629

5010 N 40th St
#5202
Tampa, FL 33610
Phone (813) 663-9696

5130 Kelly Rd
Tampa, FL 33615
Phone (813) 739-0007

5085 Eagleston Blvd
Zephyrhills, FL 33544
Phone (765) 664-5400

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1255849055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE STE 129-300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-441-6803",
            "fax_number": "813-524-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE STE 129-300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-441-6803",
            "fax_number": "813-524-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRUM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "PATIDAR",
        "authorized_official_first_name": "BHAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-441-6803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011056550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.