Pushpa P Nirmul MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0038457 Issued in FL

Legal business name

PUSHPA P NIRMUL MD PA

Practice address

602 Vonderburg Dr
Suite 101
Brandon, FL 33511-5900

Phone

(813) 689-7571

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Pushpa P Nirmul, MD

Title

President

Phone

(813) 689-7571

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brandon Pediatrics Doing business as

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1457538837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 VONDERBURG DR",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115900",
            "telephone_number": "813-689-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VONDERBURG DR",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115900",
            "telephone_number": "813-689-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSHPA P NIRMUL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "NIRMUL",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-7571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0038457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066482100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280401800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Publix Super Markets Inc
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• Pulmonary Associates of Brandon PA
• Anitta Janosh Purackal, ARNP
• Arif M Qazi, MD
• QC Wellness & Spa LLC
• Qdi Partners
• Qdi Partners, LLC
• Qi Qiu

• All providers in Brandon, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.