Individual provider Active NPI

Calvin Pham Tran, DO

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1407376775
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS15861 Issued in FL
Practice address
2020 26TH Ave E
Bradenton, FL 34208-7753
Phone
(941) 782-4600
Fax
(941) 782-4601
NPI assigned
Jun 27, 2017
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UO5507 FL
Psychiatry Physician 2084P0800X OS15861 FL Primary

Addresses

Primary practice location

2020 26TH Ave E
Bradenton, FL 34208-7753

Mailing address

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820003006 FL Practitioner - Psychiatry 9537564026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Port BH LLCGroup PAC ID 2961935622, 11 clinicians

Practice addresses (Care Compare)

4501 Citizens Pkwy
North Port, FL 34288-6000
Phone (941) 867-6872

8451 Shade Ave
Suite 107
Sarasota, FL 34243-2878
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO5507FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Psychiatry CurrentSince Jul 19, 2021 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 26, 1995 Accepting new patients
Dna Comprehensive Therapy Services, LLC PastSince Jun 8, 2025 Accepting new patients

Locations (25 of 35)

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

9401 Corkscrew Palms Cir
Fl 3
Estero, FL 33928

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

2600 S Florida Ave
Lakeland, FL 33803
Phone (863) 732-7200

2913 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 368-9900

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 765-5437

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222

1542 Kingsley Ave
Ste 136137
Orange Park, FL 32073
Phone (904) 458-7780

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

1201 US Highway 1
Ste 250
Palm Beach Gardens, FL 33408
Phone (561) 747-2775

1115 E Gonzalez St
Pensacola, FL 32503
Phone (850) 483-1145

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

2401 University Pkwy
Ste 104
Sarasota, FL 34243
Phone (941) 358-6777

Interoperability endpoints

  • Direct secure messaging: calvin.tran.1@13142.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1407376775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY",
            "address_2": "STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-236-8784",
            "fax_number": "239-790-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 26TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087753",
            "telephone_number": "941-782-4600",
            "fax_number": "941-782-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CALVIN",
        "middle_name": "PHAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5507",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS15861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.