Individual provider Active NPI

Bryan Parmer, DO

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1558334789
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8728 Issued in FL
Practice address
2150 49TH St N Ste a
St Petersburg, FL 33710-5237
Phone
(727) 828-1730
Fax
(727) 828-1731
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8728 FL Primary

Addresses

Primary practice location

2150 49TH St N Ste a
St Petersburg, FL 33710-5237

Mailing address

2150 49TH St N Ste a
St Petersburg, FL 33710-5237
Phone (727) 828-1730

Other identifiers 1

IdentifierTypeStateIssuer
265731700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000720 FL Practitioner - Family Practice 5193746667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern Univ College of Dental Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

3328 49TH St N
St Petersburg, FL 33710-2101
Phone (727) 828-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Family Medicine CurrentSince Jul 1, 2005 Accepting new patients
Optumcare Florida, LLC CurrentSince Jul 1, 2005 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2150 49th St N
Ste A
St Petersburg, FL 33710
Phone (727) 328-1841

3328 49th St N
St Petersburg, FL 33710
Phone (727) 828-1730

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

Interoperability endpoints

  • Direct secure messaging: bryan.parmer@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1558334789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-828-1730",
            "fax_number": "727-828-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-828-1730",
            "fax_number": "727-828-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "BRYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265731700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.