Brandon Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRANDON MEDICAL CENTER

Practice address

122 S Moon Ave
Brandon, FL 33511-5110

Phone

(813) 502-6430

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Kilgore

Title

Owner

Phone

(813) 502-6430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1306396304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115110",
            "telephone_number": "813-502-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115110",
            "telephone_number": "813-502-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-502-6430",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Home Care LLC
• Brandon Integrated Healthcare Clinics Inc
• Brandon Integrative Health LLC
• Brandon Mall Dental P.a.
• Brandon Medical Care LLC
• Brandon Medical Wellness Center
• Brandon Mental Health
• Brandon Modern Dentistry, PA
• Brandon Nephrology PA
• Brandon Oral Surgery and Specialty Center PLLC

• General Practice Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.