Gary Barbosa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1415 Issued in FL

Practice address

3182 Edgemoore Drive
Palm Harbor, FL 34685

Phone

(727) 787-2158

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Advanced Medical of Tampa Bay, L.L.C.

  dba Advanced Medical

  • General Practice Physician
  • Tampa, FL
  • NPI 1033821061

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1356993398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36181 E LAKE RD STE 185",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853142",
            "telephone_number": "727-787-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 EDGEMOORE DRIVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34685",
            "telephone_number": "727-787-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banacki Chiropractic Services Inc
• John Ramon Banacki, D.C.
• Hallie M Banc, DDS
• Andre Luiz Bandeira, DMD
• Agnieszka Barber
• Barbara Jane Barcellona, ARNP
• Bradley Earl Barkman, M.P.T.
• Marlene A. Barrie, M.S.,CC.C.C.,SLP
• Gianna Barry
• Margaret Berg Basil, DDS

• Podiatrist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.