Individual provider Active NPI

Jorge B Diaz, M.D.

  • General Practice Physician
  • Brandon, FL
National Provider Identifier
1699157180
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN671 Issued in FL
Practice address
731 S Parsons Ave
Brandon, FL 33511-6058
Phone
(813) 499-1500
Fax
(813) 499-1499
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN671 FL Primary

Addresses

Primary practice location

731 S Parsons Ave
Brandon, FL 33511-6058

Mailing address

731 S Parsons Ave
Brandon, FL 33511-6058
Phone (813) 499-1500

Other identifiers 1

IdentifierTypeStateIssuer
ACN671OtherFLMEDICAL LICENSE

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
I20151023001358 FL Practitioner - General Practice 6608184643 Reassigns benefits to 1 organization
Practice locations: Brandon, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN671FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humanitary Medical Center Brandon, Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

731 S Parsons Ave
Brandon, FL 33511
Phone (813) 499-1500

3109 W Mlk Blvd
Ste 121
Tampa, FL 33607

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1699157180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116058",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116058",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ACN671",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.