Individual provider Active NPI

Mary L Bristow, A.P.

  • Acupuncturist
  • Brooksville, FL
National Provider Identifier
1386895753
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2516 Issued in FL
Practice address
312 S Broad St
Brooksville, FL 34601-2824
Phone
(352) 799-1882
Fax
(352) 799-1882
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2516 FL Primary

Addresses

Primary practice location

312 S Broad St
Brooksville, FL 34601-2824

Mailing address

312 S Broad St
Brooksville, FL 34601-2824
Phone (352) 799-1882

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

LicenseStateTypeSpecialty
AP2516FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1386895753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S BROAD ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012824",
            "telephone_number": "352-799-1882",
            "fax_number": "352-799-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S BROAD ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012824",
            "telephone_number": "352-799-1882",
            "fax_number": "352-799-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.