NPIMap

Organization Active NPI

Bayfront Physician Speciality

  • Neurological Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1376700393
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BAYFRONT PHYSICIAN SPECIALITY
Practice address
700 6TH St S
St Petersburg, FL 33701-4815
Phone
(727) 893-6095
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
BAUFRONT MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mark Edmunds
Title
Billing Manager
Phone
(727) 893-6095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

700 6TH St S
St Petersburg, FL 33701-4815

Mailing address

PO Box 550596
Tampa, FL 33655-0596

National Provider Directory

National Provider Directory
Part of
Bayfront Neonatology Services

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1376700393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550596",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014815",
            "telephone_number": "727-893-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT PHYSICIAN SPECIALITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAUFRONT MEDICAL CENTER",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "727-893-6095"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.