Kotila Spine & Joint Center of Brandon LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

KOTILA SPINE & JOINT CENTER OF BRANDON LLC

Practice address

1451 Oakfield Dr
Brandon, FL 33511-4854

Phone

(813) 643-1242

Fax

(813) 643-1246

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gary J Kotila, DC

Title

Owner

Phone

(813) 643-1242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Bacon, D.C

  • Chiropractor
  • Riverview, FL
  • NPI 1609269125
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1427448406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTILA SPINE & JOINT CENTER OF BRANDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "KOTILA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-643-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Korytnikova
• Eleni Kostidakis
• Rajesh Kotak, M.D.
• Kotila Chiropractic Inc
• Kotila Massage & Wellness Inc
• Gary J Kotila, DC
• Samer Koussayer, MD
• Caitlin Krakower
• Michelle Leigh Kraling
• Daniel John Kramer, D.O.

• Interventional Pain Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.