Brian M Kagan MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0041682 Issued in FL

Legal business name

BRIAN M KAGAN MD PA

Practice address

4957 38TH Ave N
Suite a
St Petersburg, FL 33710-2174

Phone

(727) 526-7420

Fax

(727) 525-0675

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Martin Kagan, MDNPI 1366552234

Title

Physician Owner

Phone

(727) 526-7420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Martin Kagan, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1366552234
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306945811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-526-7420",
            "fax_number": "727-525-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-526-7420",
            "fax_number": "727-525-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M KAGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "727-526-7420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0041682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Treece Brew, APRN
• Sue A Brewer, LCSW
• Natalia Brewster, MSW
• Daniel Breznau, M.D.
• Brian D Brill DC PLLC
• Brian Shah, MD, PLLC
• Bridge Speech Therapy LLC
• Carolyn Bridge, M.S., C.C.C.
• Lisa Marie Bridge
• Brien E Pierpont MD PA

• Primary Care Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.