Active NPI
Victoria Belle Branom, APRN
- Pediatric Nurse Practitioner
- Orlando, FL
National Provider Identifier
1477070266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9344654
- Practice address
- 12780 Waterford Lakes Pkwy
Orlando, FL 32828-4500 - Phone
- (407) 384-1053
- Fax
- (407) 277-8168
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9344654 | FL | Primary |
Addresses
Primary practice location
12780 Waterford Lakes Pkwy
Orlando, FL 32828-4500
Mailing address
1414 Kuhl Ave # MP38
Orlando, FL 32806-2008
Phone (321) 842-4713
Other practice location 1
1530 Celebration Blvd Ste 301
Celebration, FL 34747-5165
Phone (407) 566-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022547600 | Medicaid | FL |
Other names 1
- Ms. Victoria B Bernhardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Celebration Pediatrics PA | Past | Accepting new patients |
Locations
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
Interoperability endpoints
- vbranom384348@orlandohealth.medalliesdirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Pediatrics Physician
- Celebration, FL
- NPI 1326320524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1477070266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 KUHL AVE # MP38",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062008",
"telephone_number": "321-842-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12780 WATERFORD LAKES PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284500",
"telephone_number": "407-384-1053",
"fax_number": "407-277-8168"
}
],
"practiceLocations": [
{
"address_1": "1530 Celebration Blvd Ste 301",
"address_purpose": "LOCATION",
"city": "Celebration",
"state": "FL",
"postal_code": "347475165",
"country_code": "US",
"telephone_number": "407-566-9700",
"fax_number": "877-534-5105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANOM",
"first_name": "VICTORIA",
"middle_name": "BELLE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9344654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022547600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "BERNHARDT",
"middle_name": "B",
"prefix": "MS.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.