Humanitary Medical Center Brandon, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HUMANITARY MEDICAL CENTER BRANDON, INC

Practice address

731 S Parsons Ave
Brandon, FL 33511-6058

Phone

(813) 499-1500

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Eliecer Gonzalez

Title

President

Phone

(813) 468-1866

Specialties & licenses 1

Addresses

Other names 1

• Humanitary Medical Center Brandon, INC Former legal business name

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

Practitioners 3

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

• Aracelia Barco Collado, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1992397525
  Medicare reassignment NPD
• Jorge B Diaz, M.D.

  • General Practice Physician
  • Brandon, FL
  • NPI 1699157180
  Medicare reassignment NPD
• Mariela Torres Galvez

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1225863186
  NPD (past)

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1548844194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116058",
            "telephone_number": "813-499-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116058",
            "telephone_number": "813-499-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITARY MEDICAL CENTER BRANDON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIECER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-468-1866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humanitary Medical Center Brandon, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Humanitary Medical Center Brandon, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Farah Hudson, CAA
• John Thomas Huggins, LMHC; LMFT
• Holly Welch Hughes
• Angela Louise Hull, CCC-SLP
• Nevy Hulse, COTA/L
• Chelsey Humphrey
• Jessie Humphries, LCSW
• Adam Christopher Hunt, DMD
• Carly Marie Hunter, MS, CCC-SLP
• Monica Hunter, CRT

• Primary Care Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.