Brent J Agin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME83513 Issued in FL

Practice address

26212 US Highway 19 N
Clearwater, FL 33761-3580

Phone

(727) 230-1438

Fax

(727) 230-1437

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Precision Medical Center, LLC

  • Primary Care Clinic/Center
  • Palm Harbor, FL
  • NPI 1538346358
  NPD (past) Authorized official
• Center for Family Health Wellness and Prevention P a

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1265601595
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1477510709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26212 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613580",
            "telephone_number": "727-230-1438",
            "fax_number": "727-230-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26212 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613580",
            "telephone_number": "727-230-1438",
            "fax_number": "727-230-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2629691000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262969100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ageless Placements, Inc.
• Ageless Placements, Inc.
• Aghapy Spirit LLC
• Aghapy Spirit LLC
• Agile in-Home Care, LLC
• Jennifer Lynn Agisotelis, B.S.
• Michelle A Agrela
• Manuela M Aguilar, PA-C
• Mohamed Ahmed, RPH
• Matthew Ahrens, D.M.D.

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.