Adventist Health System/Sunbelt, Inc

Organization Active NPI Family Medicine Physician · Orlando, FL

NPI 1497280002 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1497280002
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Practice address
25 South Terry Ave
Suite 310
Orlando, FL 32801
Phone
(407) 200-2300
Fax
(407) 381-2558
NPI assigned
Apr 21, 2017
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Authorized official

Name
Scott C Brady, MD
Title
President/Ceo
Phone
(407) 200-2300

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 41

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

View all 41

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100903000981 FL Part B Supplier - Clinic/Group Practice 3274657721 Receives reassigned benefits from 115 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wesley Chapel, FL; Palm Coast, FL; Palm Harbor, FL; Port Orange, FL; Saint Cloud, FL; Oviedo, FL; Sanford, FL; Spring Hill, FL…

National Provider Directory

Tax ID family
Adventist Health Systemsunbelt Inc (42 organizations share this tax ID)
Part of
Adventist Health Systemsunbelt Inc

Locations

8014 Conroy Windermere Rd
Ste 104
Orlando, FL 32835
Phone (407) 291-8975

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

25 South Terry Ave
Suite 310
Orlando, FL 32801

Mailing address

2600 Westhall Lane Box 300
Maitland, FL 32751
Phone (407) 200-2300

Other names

  • AdventHealth TotalHealthManagement Primary Care Plus Training Facility Doing business as

Other providers in Orlando, FL

All providers in Orlando, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.