NPIMap

Organization Active NPI

De Brigard Pediatrics, P.a

  • Primary Care Clinic/Center
  • Brandon, FL
National Provider Identifier
1407248792
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME54593 Issued in FL
Legal business name
DE BRIGARD PEDIATRICS, P.A
Practice address
711 N Parsons Ave
Brandon, FL 33510-3406
Phone
(813) 662-1200
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Miss Tomas E. De Brigard, MD
Title
Prrsident/Pediatrician
Phone
(813) 662-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME54593 FL Primary

Addresses

Primary practice location

711 N Parsons Ave
Brandon, FL 33510-3406

Mailing address

711 N Parsons Ave
Brandon, FL 33510-3406
Phone (813) 662-1200

National Provider Directory

National Provider Directory

Locations

711 N Parsons Ave
Brandon, FL 33510
Phone (813) 662-1200

Practitioners & affiliated clinicians

Practitioners 8

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1407248792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103406",
            "telephone_number": "813-662-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103406",
            "telephone_number": "813-662-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BRIGARD PEDIATRICS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "DE BRIGARD",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRRSIDENT/PEDIATRICIAN",
        "authorized_official_telephone_number": "813-662-1200",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME54593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.