Bryan A Ballot, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R3K74 Issued in MO

Practice address

140 Fountain Pkwy N
Suite 600
St Petersburg, FL 33716-1285

Phone

(727) 575-8006

Fax

(727) 575-8094

NPI assigned

Mar 8, 2006

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1437127362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOUNTAIN PKWY N",
            "address_2": "SUITE 600",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161285",
            "telephone_number": "727-575-8006",
            "fax_number": "727-575-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOUNTAIN PKWY N",
            "address_2": "SUITE 600",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161285",
            "telephone_number": "727-575-8006",
            "fax_number": "727-575-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOT",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R3K74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Davis Ball, D.O.
• Shirley Aew Ball, APRN
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• Paola B Ballester, MD
• Dania Ballich, M.D.
• Alexandru Daniel Bandea, MD
• Ji Young Bang, M.D.
• Olivia Bango, LCSW
• Jeanne Ann Bangtson, DC
• Bangus Surgical Specialists LLC

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.