NPIMap

Organization Active NPI

Restore Plastic Surgery, P.a.

  • Plastic and Reconstructive Surgery Physician
  • Pensacola, FL
National Provider Identifier
1386030443
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME 122557 Issued in FL
Legal business name
RESTORE PLASTIC SURGERY, P.A.
Practice address
600 E Government St
Pensacola, FL 32502-6136
Phone
(850) 500-7527
Fax
(850) 855-4030
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Dr. Benjamin Jacob Brown, M.D.
Title
Owner
Phone
(850) 500-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X ME 122557 FL Primary

Addresses

Primary practice location

600 E Government St
Pensacola, FL 32502-6136

Mailing address

543 Fontaine St
Pensacola, FL 32503-2058
Phone (202) 431-6784

Other practice location 1

543 Fontaine St
Pensacola, FL 32503-2058
Phone (202) 431-6784

National Provider Directory

National Provider Directory

Locations

543 Fontaine St
Pensacola, FL 32503
Phone (850) 476-3223

Practitioners & affiliated clinicians

Practitioners 4

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": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1386030443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032058",
            "telephone_number": "202-431-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026136",
            "telephone_number": "850-500-7527",
            "fax_number": "850-855-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032058",
            "country_code": "US",
            "telephone_number": "202-431-6784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-500-7527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME 122557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.