Brandy Angela Kucharski, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PAC9114184 Issued in FL

Practice address

7641 66TH St N
Pinellas Park, FL 33781-3173

Phone

(727) 541-4431

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gary L. Heller, D.O., L.L.C.

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1730391863

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1679230387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 JENNIFER LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772804",
            "telephone_number": "239-560-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813173",
            "telephone_number": "727-541-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKI",
        "first_name": "BRANDY",
        "middle_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PAC9114184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Krause
• Brooke Christine Krimmel
• Kristen M Sturdevant PSYD PA
• Jessica Kruger, B.A.
• Maury Howard Krystel, D.D.S.
• Katherine Kudelko
• Cindy Kuharek, ARNP
• Nicholas Joseph Kunis
• Tariq Kutob, MD
• L. I. F. E. Support S., Inc.

• Dermatology Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.