Active NPI
Robert Daniel Bavender, DO
- Physical Medicine & Rehabilitation Physician
- Tampa, FL
National Provider Identifier
1669113106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS23964
- Practice address
- 625 E Twiggs St Ste 103
Tampa, FL 33602-3910 - Phone
- (813) 228-7696
- Fax
- (813) 228-0677
- NPI assigned
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS23964 | FL | Primary |
Addresses
Primary practice location
625 E Twiggs St Ste 103
Tampa, FL 33602-3910
Mailing address
625 E Twiggs St Ste 103
Tampa, FL 33602-3910
Phone (813) 228-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1669113106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E TWIGGS ST STE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023910",
"telephone_number": "813-228-7696",
"fax_number": "813-228-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E TWIGGS ST STE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023910",
"telephone_number": "813-228-7696",
"fax_number": "813-228-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAVENDER",
"first_name": "ROBERT",
"middle_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-06",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS23964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.