Active NPI
Daniel Joseph O'Bryan, DO
- Family Medicine Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS19625
- Practice address
- 11420 N 56TH St
Temple Terrace, FL 33617-2237 - Phone
- (813) 915-5459
- Fax
- (813) 910-3569
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OL61061701 | WA | |
| Family Medicine Physician | 207Q00000X | OP61428186 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS19625 | FL | Primary |
Addresses
Primary practice location
11420 N 56TH St
Temple Terrace, FL 33617-2237
Mailing address
2209 E 32ND St
Tacoma, WA 98404-4922
Other practice location 1
2209 E 32nd St
Tacoma, WA 98404-4922
Phone (253) 593-0232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042
3500 E Fletcher Ave
Suite 400
Tampa, FL 33613-4719
Phone (813) 580-5479
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Wesley Chapel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19625 | FL | MD | Family Medicine Physician |
| OP61428186 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc | Family Medicine | Current | Accepting new patients |
| Adventhealth Primary Care Network Inc | Family Medicine | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc | Family Medicine | Current | Accepting new patients |
| Adventist Health System Sunbelt Inc | Family Medicine | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650
3500 E Fletcher Ave
Ste 400
Tampa, FL 33613
Phone (813) 580-5479
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
11420 N 56th St
Temple Terrace, FL 33617
Phone (813) 971-3136
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Interoperability endpoints
- dobryan1246911@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Family Medicine Physician
- Winter Garden, FL
- NPI 1427296730
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Family Medicine Physician
- Oviedo, FL
- NPI 1053271114
-
- Family Medicine Physician
- New Port Richey, FL
- NPI 1679250187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1497315592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 E 32ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172237",
"telephone_number": "813-915-5459",
"fax_number": "813-910-3569"
}
],
"practiceLocations": [
{
"address_1": "2209 E 32nd St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984044922",
"country_code": "US",
"telephone_number": "253-593-0232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRYAN",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OL61061701",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61428186",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS19625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.