Individual provider Active NPI

Terrence D Julien, MD

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1548355779
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME140304 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 460
Tampa, FL 33607
Phone
(813) 879-4328
Fax
(813) 443-8152
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD423347 PA
Neurology Physician 2084N0400X ME140304 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 460
Tampa, FL 33607

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-1355

Other practice location 1

2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Phone (412) 858-7766

Other practice location 2

1212 Garfield Ave Ste 300
Parkersburg, WV 26101
Phone (304) 865-3655

Other practice location 3

1212 Garfield Ave Ste 300
Parkersburg, WV 26101
Phone (304) 865-3655

Other identifiers 2

IdentifierTypeStateIssuer
104552400MedicaidFL
101918191MedicaidPA

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

LicenseStateTypeSpecialty
MD423347PAMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1548355779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-1355",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 460",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-879-4328",
            "fax_number": "813-443-8152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Haymaker Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463500",
            "country_code": "US",
            "telephone_number": "412-858-7766",
            "fax_number": "412-858-7769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Garfield Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "26101",
            "country_code": "US",
            "telephone_number": "304-865-3655",
            "fax_number": "304-865-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Garfield Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "26101",
            "country_code": "US",
            "telephone_number": "304-865-3655",
            "fax_number": "304-865-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIEN",
        "first_name": "TERRENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD423347",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME140304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104552400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101918191",
            "state": "PA"
        }
    ],
    "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 Dec 11, 2019; 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.