Organization Active NPI

Bich-Ngoc T. Pham, MD, LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1497917082
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101516 Issued in FL
Legal business name
BICH-NGOC T. PHAM, MD, LLC
Practice address
11011 Countryway Blvd
Tampa, FL 33626-2628
Phone
(813) 749-0844
Fax
(813) 749-0846
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Bich-Ngoc Thi Pham, M.D.
Title
Physician
Phone
(813) 749-0844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 101516 FL
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME101516 FL Primary

Addresses

Primary practice location

11011 Countryway Blvd
Tampa, FL 33626-2628

Mailing address

11011 Countryway Blvd
Tampa, FL 33626-2628
Phone (813) 749-0844

National Provider Directory

National Provider Directory

Locations

11011 Countryway Blvd
Tampa, FL 33626
Phone (813) 749-0844

11041 Countryway Blvd
Tampa, FL 33626
Phone (813) 351-9521

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1497917082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262628",
            "telephone_number": "813-749-0844",
            "fax_number": "813-749-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262628",
            "telephone_number": "813-749-0844",
            "fax_number": "813-749-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICH-NGOC T. PHAM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BICH-NGOC",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-749-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "101516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.