Organization Active NPI

Ashton C. Brinson, MD, PA

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1447290895
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86123 Issued in FL
Legal business name
ASHTON C. BRINSON, MD, PA
Practice address
695 Douglas Ave
Altamonte Springs, FL 32714-2515
Phone
(407) 774-7080
Fax
(407) 774-7090
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Ashton Chase Brinson, M.DNPI 1164499414
Title
President
Phone
(407) 774-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME86123 FL Primary

Addresses

Primary practice location

695 Douglas Ave
Altamonte Springs, FL 32714-2515

Mailing address

695 Douglas Ave
Altamonte Springs, FL 32714-2515
Phone (407) 774-7080

Other identifiers 1

IdentifierTypeStateIssuer
ME86123OtherFLMEDICAL LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000941 FL Part B Supplier - Clinic/Group Practice 9133123359 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1052204Ashton C Brinson MD695 Douglas Ave, Altamonte Springs, FL 32714Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

695 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 774-7080

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1447290895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142515",
            "telephone_number": "407-774-7080",
            "fax_number": "407-774-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142515",
            "telephone_number": "407-774-7080",
            "fax_number": "407-774-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON C. BRINSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-774-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC #",
            "identifier": "ME86123",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.