Apc, Inc - Brandon

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME69243 Issued in FL

Legal business name

APC, INC - BRANDON

Practice address

1125 Nikki View Dr
Brandon, FL 33511-4879

Phone

(813) 876-7600

Fax

(813) 876-7675

NPI assigned

May 22, 2012

Organization subpart

Yes

Parent organization

ADVANCED PAIN CARE, INCAs reported in NPPES

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

Authorized official

Name

Dr. Stanley Robert Dennison Jr., M.D., M.B.A.NPI 1376618470

Title

Ceo/President

Phone

(813) 876-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Apc Inc - Brandon2 organizations share this tax ID, including this one

Part of

Apc Inc - Brandon

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Apc, Inc -New Port Richey

  • Interventional Pain Medicine Physician
  • Trinity, FL
  • NPI 1053671917
  NPD tax ID

Locations

Practitioners 1

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

• Stanley Robert Dennison Jr., MD

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1376618470
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1447510698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076509",
            "telephone_number": "813-876-7600",
            "fax_number": "813-876-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-876-7600",
            "fax_number": "813-876-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APC, INC - BRANDON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PAIN CARE, INC",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "813-876-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME69243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "K3587",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 May 18, 2023; 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.