Individual provider Active NPI

Guillermo Talero, MD

  • General Practice Physician
  • Brandon, FL
National Provider Identifier
1437113305
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 86710 Issued in FL
Practice address
1783 S Kings Ave
Brandon, FL 33511-6220
Phone
(813) 933-3060
Fax
(813) 662-4818
NPI assigned
Apr 17, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 86710 FL Primary

Addresses

Primary practice location

1783 S Kings Ave
Brandon, FL 33511-6220

Mailing address

1783 S Kings Ave
Brandon, FL 33511-6220
Phone (813) 933-3060

Other practice location 1

4714 N Armenia Ave
Suite 100
Tampa, FL 33603-2603
Phone (813) 915-9000

Other identifiers 1

IdentifierTypeStateIssuer
260688700MedicaidFL

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
I20040211000544 FL Practitioner - General Practice 0042104994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

1783 S Kings Ave
Brandon, FL 33511-6220
Phone (813) 315-9896

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 86710FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Feb 11, 2019 Accepting new patients

Locations

1783 S Kings Ave
Brandon, FL 33511
Phone (813) 315-9896

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

5110 N Habana Ave
Ste 2
Tampa, FL 33614
Phone (813) 512-2564

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1437113305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-933-3060",
            "fax_number": "813-662-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-933-3060",
            "fax_number": "813-662-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4714 N Armenia Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032603",
            "country_code": "US",
            "telephone_number": "813-915-9000",
            "fax_number": "813-930-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALERO",
        "first_name": "GUILLERMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 86710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260688700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.