Individual provider Active NPI

Juan Ling, M.D

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1326068040
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME36088 Issued in FL
Practice address
305 Bryan Rd
Ste 7
Brandon, FL 33511-5340
Phone
(813) 681-1111
Fax
(813) 654-5640
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME36088 FL Primary

Addresses

Primary practice location

305 Bryan Rd
Ste 7
Brandon, FL 33511-5340

Mailing address

305 Bryan Rd
Ste 7
Brandon, FL 33511-5340
Phone (813) 681-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000358 FL Practitioner - Family Practice 3870780828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juan Ling, M.D., PAGroup PAC ID 9335336387, 2 clinicians

Practice addresses (Care Compare)

305 Bryan Rd
Suite 7
Brandon, FL 33511-5340
Phone (813) 681-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Ling MD PA Family Medicine CurrentSince Sep 13, 2010 Accepting new patients

Locations

305 Bryan Rd
Ste 7
Brandon, FL 33511
Phone (813) 681-1111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1326068040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BRYAN RD",
            "address_2": "STE 7",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115340",
            "telephone_number": "813-681-1111",
            "fax_number": "813-654-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BRYAN RD",
            "address_2": "STE 7",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115340",
            "telephone_number": "813-681-1111",
            "fax_number": "813-654-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "JUAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME36088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.