Individual provider Active NPI

Bienvenido Samera, M.D., P.A.

  • Family Medicine Physician
  • Branford, FL
National Provider Identifier
1639199243
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0028682 Issued in FL
Practice address
303 Suwannee Ave
Branford, FL 32008-0846
Phone
(386) 935-1093
Fax
(386) 935-3113
NPI assigned
Jul 20, 2006
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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 ME0028682 FL Primary

Addresses

Primary practice location

303 Suwannee Ave
Branford, FL 32008-0846

Mailing address

PO Box 846
Branford, FL 32008-0846
Phone (386) 935-1093

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
I20110328000308 FL Practitioner - Family Practice 9638352719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Suwanee Ave
Branford, FL 32008-0846

303 Suwannee Ave NW
Branford, FL 32008-3275
Phone (386) 935-1093

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME0028682FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bienvenido M. Samera, M.D., P.a. Family Medicine CurrentSince Jul 3, 2010 Accepting new patients

Locations

303 Suwannee Ave NW
Branford, FL 32008
Phone (386) 935-1093

303 Suwannee Ave NW
#303
Branford, FL 32008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1639199243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320080846",
            "telephone_number": "386-935-1093",
            "fax_number": "386-935-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SUWANNEE AVE",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320080846",
            "telephone_number": "386-935-1093",
            "fax_number": "386-935-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMERA",
        "first_name": "BIENVENIDO",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0028682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, FL

Sources for this page

Verify at the official NPI Registry.