Active NPI
Amos Brito, CSFA
- Surgical Assistant
- Fort Worth, TX
National Provider Identifier
1619371945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 147212
- Practice address
- 5128 Bayridge CT
Fort Worth, TX 76179-4255 - Phone
- (817) 525-5856
- Fax
- (817) 238-7966
- NPI assigned
- Oct 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 147212 | TX | Primary |
Addresses
Primary practice location
5128 Bayridge CT
Fort Worth, TX 76179-4255
Mailing address
PO Box 938
Rowlett, TX 75030-0938
Phone (214) 227-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174212 | Other | TX | CSFA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147212 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Professional Associates LLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Fort Worth, TX
- NPI 1235695040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1619371945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 938",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750300938",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5128 BAYRIDGE CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761794255",
"telephone_number": "817-525-5856",
"fax_number": "817-238-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITO",
"first_name": "AMOS",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "147212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSFA",
"identifier": "174212",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.