Stefan G Pribil, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME97619 Issued in FL

Practice address

139 SW Port St Lucie Blvd
Suite C
Port St Lucie, FL 34984-5031

Phone

(772) 878-5787

Fax

(772) 673-3347

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Florida Trauma Network, LLC

  • Trauma Surgery Physician
  • Bradenton, FL
  • NPI 1902198948
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1376681619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SW PORT ST LUCIE BLVD",
            "address_2": "SUITE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845031",
            "telephone_number": "772-878-5787",
            "fax_number": "772-673-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SW PORT ST LUCIE BLVD",
            "address_2": "SUITE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845031",
            "telephone_number": "772-878-5787",
            "fax_number": "772-673-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBIL",
        "first_name": "STEFAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "09098R",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G87914",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME97619",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M5448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Florida Medical PA
• Premium Primary Care & Walk-in Clinic Inc
• Susan M Prendergast, ARNP
• Deanna Presti, PT
• Linda Prevalon
• Debra Price, AGNP-C
• Pricilla'S Loving Care Corp
• Karina Priest, L.M.H.C.
• Kathryn Florence Priest, LCSW
• Prima Vista Walk-in Medical Center, Inc.

• Neurological Surgery Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.