Active NPI
Jose a. Berrios, MD PA
- Family Medicine Physician
- Brandon, FL
National Provider Identifier
1538466917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME25337
- Legal business name
- JOSE A. BERRIOS, MD PA
- Practice address
- 320 Oakfield Dr
Suite D
Brandon, FL 33511-5723 - Phone
- (813) 684-0949
- Fax
- (813) 654-7105
- NPI assigned
- Feb 19, 2011
- Last updated
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose A Berrios, MD
- Title
- President
- Phone
- (813) 684-0949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME25337 | FL | Primary |
Addresses
Primary practice location
320 Oakfield Dr
Suite D
Brandon, FL 33511-5723
Mailing address
PO Box 105
Valrico, FL 33595-0105
Phone (813) 684-0949
National Provider Directory
National Provider DirectoryLocations
320 Oakfield Dr
Ste D
Brandon, FL 33511
Phone (813) 657-1064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1538466917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "VALRICO",
"state": "FL",
"postal_code": "335950105",
"telephone_number": "813-684-0949",
"fax_number": "813-654-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 OAKFIELD DR",
"address_2": "SUITE D",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115723",
"telephone_number": "813-684-0949",
"fax_number": "813-654-7105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE A. BERRIOS, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-19",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "BERRIOS",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-684-0949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME25337",
"primary": true
}
],
"identifiers": [],
"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 Feb 2, 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.