Individual provider Active NPI

Bruce A Piszel, MD

  • Specialist
  • Brandon, FL
National Provider Identifier
1467553966
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME121364 Issued in FL
Practice address
403 S Kings Ave Ste 201
Brandon, FL 33511
Phone
(813) 872-4492
Fax
(813) 490-9635
NPI assigned
Sep 26, 2006
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME121364 FL Primary
Pain Medicine Physician 208VP0000X 35084603 OH

Addresses

Primary practice location

403 S Kings Ave Ste 201
Brandon, FL 33511

Mailing address

403 S Kings Ave Ste 201
Brandon, FL 33511-5962
Phone (813) 872-4492

Other identifiers 1

IdentifierTypeStateIssuer
2495867MedicaidOH

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
I20150213000703 FL Practitioner - Pain Management 8224018965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

2333 W Hillsborough Ave
Suite 100
Tampa, FL 33603-1059
Phone (813) 872-4492

325 Waymont Court
Suite 111
Lake Mary, FL 32746-3572
Phone (407) 585-0263

403 S Kings Ave
Suite 201
Brandon, FL 33511-5962
Phone (813) 872-4492

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121364FLMDSpecialist
35084603OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piszel Pain Management System LLC Specialist CurrentSince Nov 19, 2010 Accepting new patients
Tampa Pain Relief Center, Inc. CurrentSince Dec 28, 2014 Accepting new patients
University Anesthesiologists, Inc. Past Accepting new patients

Locations

403 S Kings Ave
Ste 201
Brandon, FL 33511
Phone (813) 872-4992

427 S Parsons Ave
Ste 114
Brandon, FL 33511

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

2333 W Hillsborough Ave
Ste 100
Tampa, FL 33603
Phone (813) 935-1284

50 E Main St
Geneva, OH 44041
Phone (440) 361-4610

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bruce.piszelmd.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1467553966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S KINGS AVE STE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115962",
            "telephone_number": "813-872-4492",
            "fax_number": "813-870-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S KINGS AVE STE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-872-4492",
            "fax_number": "813-490-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISZEL",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME121364",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35084603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2495867",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.