Organization Active NPI

William B. Acevedo, M.D., P.a.

  • Pediatrics Physician
  • Brooksville, FL
National Provider Identifier
1518358175
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME81386 Issued in FL
Legal business name
WILLIAM B. ACEVEDO, M.D., P.A.
Practice address
726 W Jefferson St
Brooksville, FL 34601-2530
Phone
(352) 754-1253
Fax
(352) 754-1293
NPI assigned
Feb 18, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. William B Acevedo, M.D.NPI 1528014313
Title
President
Phone
(352) 754-1253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME81386 FL Primary

Addresses

Primary practice location

726 W Jefferson St
Brooksville, FL 34601-2530

Mailing address

726 W Jefferson St
Brooksville, FL 34601-2530
Phone (352) 754-1253

Other identifiers 1

IdentifierTypeStateIssuer
266461500MedicaidFL

National Provider Directory

National Provider Directory

Locations

726 W Jefferson St
Brooksville, FL 34601
Phone (352) 754-1253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1518358175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012530",
            "telephone_number": "352-754-1253",
            "fax_number": "352-754-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012530",
            "telephone_number": "352-754-1253",
            "fax_number": "352-754-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. ACEVEDO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-754-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME81386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266461500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.