Organization Active NPI

Primary Care Associates of Brandon LLC

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1356627871
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE ASSOCIATES OF BRANDON LLC
Practice address
501 Eichenfeld Dr
Brandon, FL 33511-5994
Phone
(813) 685-7716
Fax
(813) 689-4913
NPI assigned
Oct 28, 2011
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Manish Sharma, DONPI 1982652574
Title
President
Phone
(813) 685-7716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

501 Eichenfeld Dr
Brandon, FL 33511-5994

Mailing address

PO Box 7887
Wesley Chapel, FL 33545-0116
Phone (813) 685-7716

National Provider Directory

National Provider Directory

Locations

501 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 685-7716

501 Eichenfeld Dr
Ste 101
Brandon, FL 33511
Phone (813) 685-7716

701 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1356627871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7887",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335450116",
            "telephone_number": "813-685-7716",
            "fax_number": "813-689-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115994",
            "telephone_number": "813-685-7716",
            "fax_number": "813-689-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF BRANDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-7716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.