Active NPI
Brandon Otero, MD
- Student in an Organized Health Care Education/Training Program
- Orlando, FL
National Provider Identifier
1346137379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TRN42503
- Practice address
- 52 Underwood St
Orlando, FL 32806-1110 - Phone
- (321) 841-5210
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TRN42503 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN42503 | FL | Primary |
Addresses
Primary practice location
52 Underwood St
Orlando, FL 32806-1110
Mailing address
5007 Hoffner Ave Apt 12106
Orlando, FL 32812-2504
Phone (954) 654-9013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN42503 | FL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1346137379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 HOFFNER AVE APT 12106",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328122504",
"telephone_number": "954-654-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "321-841-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN42503",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN42503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.