Brandon Nephrology PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BRANDON NEPHROLOGY PA

Practice address

511 Medical Oaks Ave
Brandon, FL 33511-5961

Phone

(813) 681-8212

Fax

(813) 654-0478

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Keith B Kapatkin, M.D.

Title

President

Phone

(813) 681-8212

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shyam Jaikishin Uttamchandani, M.D.

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1679785117
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1356492086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-681-8212",
            "fax_number": "813-654-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-681-8212",
            "fax_number": "813-654-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON NEPHROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "KAPATKIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-681-8212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Medical Care LLC
• Brandon Medical Center
• Brandon Medical Wellness Center
• Brandon Mental Health
• Brandon Modern Dentistry, PA
• Brandon Oral Surgery and Specialty Center PLLC
• Brandon Pain Medicine, Inc.
• Brandon Plaza Facility LLC
• Brandon Premier Healthcare PA
• Brandon Psychiatric Group LLC

• Nephrology Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.