Brandon Area Primary Care, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRANDON AREA PRIMARY CARE, PA

Practice address

500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964

Phone

(813) 654-2445

Fax

(813) 654-9885

NPI assigned

Sep 14, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen David Parks, M.D.NPI 1255360749

Title

Owner

Phone

(813) 654-2445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 25

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.

• Olan Halim, MD

  • Internal Medicine Physician
  • Apollo Beach, FL
  • NPI 1295751584
  Medicare reassignment Care Compare group NPD
• Vanelis V Martin, APRN

  • Nurse Practitioner
  • Brandon, FL
  • NPI 1144028267
  Medicare reassignment Care Compare group NPD
• Sarah Mastro, APRN

  • Family Nurse Practitioner
  • Apollo Beach, FL
  • NPI 1891342747
  Medicare reassignment Care Compare group NPD
• Michael Pappas, FNP-BC

  • Family Nurse Practitioner
  • Apollo Beach, FL
  • NPI 1265208904
  Medicare reassignment Care Compare group NPD
• Stephen David Parks, M.D.

  • Family Medicine Physician
  • Brandon, FL
  • NPI 1255360749
  Medicare reassignment NPD Authorized official
• Natassa Lee Quinn, D.O.

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1881630796
  Medicare reassignment Care Compare group NPD
• Jason Christopher Stibich, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brandon, FL
  • NPI 1619905882
  Medicare reassignment Care Compare group NPD
• Gisela Vargas, MD

  • Family Medicine Physician
  • Brandon, FL
  • NPI 1073506267
  Medicare reassignment Care Compare group NPD
• Andrew Win

  • Internal Medicine Physician
  • Apollo Beach, FL
  • NPI 1487228128
  Medicare reassignment Care Compare group NPD
• Joe McKinley Braden, PA-C

  • Physician Assistant
  • Apollo Beach, FL
  • NPI 1619960804
  Medicare reassignment Care Compare group
• Billy Mack Knowles, P.A.

  • Physician Assistant
  • Brandon, FL
  • NPI 1649208596
  Medicare reassignment Care Compare group
• Paula S Proch, PA

  • Medical Physician Assistant
  • Brandon, FL
  • NPI 1710057484
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1326143397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090242",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "SUITE 311 WEST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON AREA PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-654-2445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brancato
• Brandon Advanced Dental Care PA
• Brandon Ambulatory Surgery Center LC (East Hillsborough Surgery Center)
• Brandon Anesthesia Associates LLC
• Brandon Area Ear, Nose and Throat, P.a.
• Brandon Assessment and Counseling Center Inc
• Brandon Assisted Living LLC (Tessera of Brandon)
• Brandon Back Pain Relief Chiropractic, LLC
• Brandon BG Opco LLC (Hunter Place)
• Brandon Brace Inc

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.