Active NPI
Bonnie Westphal, PA-C
- Physician Assistant
- Tampa, FL
National Provider Identifier
1699424606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115525
- Practice address
- 405 S Dale Mabry Hwy # 362
Tampa, FL 33609-2820 - Phone
- (813) 582-5823
- NPI assigned
- Mar 18, 2022
- Last updated
- Sep 16, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115525 | FL | Primary |
Addresses
Primary practice location
405 S Dale Mabry Hwy # 362
Tampa, FL 33609-2820
Mailing address
405 S Dale Mabry Hwy # 362
Tampa, FL 33609-2820
Phone (813) 582-5823
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 |
|---|---|---|---|
| PA9115525 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imad Al-Nakshabendi M D P a | Single Specialty | Current | Accepting new patients |
Locations
671 S Kings Ave
Brandon, FL 33511
Phone (813) 972-3750
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": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1699424606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S DALE MABRY HWY # 362",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092820",
"telephone_number": "813-582-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S DALE MABRY HWY # 362",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092820",
"telephone_number": "813-582-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTPHAL",
"first_name": "BONNIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115525",
"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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.