Brandon Medical Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRANDON MEDICAL CARE LLC

Doing business as

Brandon Medical Care

Practice address

143 N Oakwood Ave
Brandon, FL 33510-4629

Phone

(813) 734-8939

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Shital Mehta, D.O.NPI 1861460610

Title

Owner

Phone

(813) 734-8939

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brandon Medical Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shital R Mehta, D.O.

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1861460610
  Medicare reassignment NPD Authorized official
• Jonathan Alexander Quinonez, D.O

  • Neuromusculoskeletal Medicine & OMM Physician
  • Riverview, FL
  • NPI 1679013437
  Medicare reassignment NPD
• Vijay Vaghasiya, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1023507860
  Medicare reassignment NPD
• Parenkumar I Patel, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1760613012
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1548818073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 GUNN HWY STE B33624",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254101",
            "telephone_number": "813-964-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N OAKWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-734-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-734-8939",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800270806",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861112772",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "143 N Oakwood Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335104629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brandon Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandon Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Home Care LLC (Home Instead)
• Brandon Home Care LLC (Home Instead)
• Brandon Integrated Healthcare Clinics Inc
• Brandon Integrative Health LLC
• Brandon Mall Dental P.a.
• Brandon Medical Center
• Brandon Medical Wellness Center (Physical Medicine & Rehabilitation)
• Brandon Mental Health
• Brandon Modern Dentistry, PA (Brandon Modern Dentistry)
• Brandon Nephrology PA

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.