Organization Active NPI

Jose a. Berrios, MD PA

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1538466917
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME25337 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.