Active NPI
Pedro Berrios
- Endodontics
- Brandon, FL
National Provider Identifier
1356915482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN30231
- Practice address
- 625 Eichenfeld Dr
Brandon, FL 33511-5908 - Phone
- (813) 654-3636
- NPI assigned
- May 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN30231 | FL | Primary |
Addresses
Primary practice location
625 Eichenfeld Dr
Brandon, FL 33511-5908
Mailing address
625 Eichenfeld Dr
Brandon, FL 33511-5908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30231 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Endodontics, PA | Endodontics | Past | Accepting new patients |
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": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1356915482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 EICHENFELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 EICHENFELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115908",
"telephone_number": "813-654-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS",
"first_name": "PEDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN30231",
"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 Aug 18, 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.