Individual provider Active NPI

Delphine Fontcha, M.D.

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1427287515
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME118430 Issued in FL
Practice address
945 E Brandon Blvd
Brandon, FL 33511-5500
Phone
(813) 692-6981
NPI assigned
Jul 9, 2009
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.129176 IL
Family Medicine Physician 207Q00000X ME118430 FL Primary
Occupational Medicine Physician 2083X0100X ME118430 FL

Addresses

Primary practice location

945 E Brandon Blvd
Brandon, FL 33511-5500

Mailing address

10536 Cory Lake Dr
Tampa, FL 33647-2710

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
I20141216002145 FL Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Other (Physician) 3870816234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118430FLMDFamily Medicine Physician
036.129176ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Dec 14, 2014 Accepting new patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Dec 14, 2014 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Grillo Monroe Optometry LLC PastSince Jan 1, 2022 Accepting new patients

Locations

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

6909 W Waters Ave
Tampa, FL 33634
Phone (813) 609-6835

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1427287515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115500",
            "telephone_number": "813-692-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTCHA",
        "first_name": "DELPHINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.129176",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118430",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME118430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.