Active NPI
John David Okun, M.D.
- Orthopaedic Surgery Physician
- Brandon, FL
National Provider Identifier
1528021748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0044550
- Practice address
- 721 W Robertson St
Suite 102
Brandon, FL 33511-4934 - Phone
- (813) 684-3707
- Fax
- (813) 654-3671
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0044550 | FL | Primary |
Addresses
Primary practice location
721 W Robertson St
Suite 102
Brandon, FL 33511-4934
Mailing address
721 W Robertson St
Suite 102
Brandon, FL 33511-4934
Phone (813) 684-5571
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30706 | Other | FL | BC/BS |
| 040054800 | Medicaid | FL | |
| 1009602 | Other | FL | CAREPLUS |
| 203716 | Other | FL | AVMED |
| P01184815 | Other | FL | RAILROAD MEDICARE |
| 0624178 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044550 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1528021748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 W ROBERTSON ST",
"address_2": "SUITE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114934",
"telephone_number": "813-684-5571",
"fax_number": "813-654-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W ROBERTSON ST",
"address_2": "SUITE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114934",
"telephone_number": "813-684-3707",
"fax_number": "813-654-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUN",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0044550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "30706",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040054800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "1009602",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "203716",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01184815",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0624178",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.