Bienvenido M. Samera, M.D., P.a.
Organization Active NPI Family Medicine Physician · Branford, FL
NPI 1740590751 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1740590751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME0028682 (FL)
- Legal business name
- BIENVENIDO M. SAMERA, M.D., P.A.
- Practice address
- 303 Suwannee Ave NW
Branford, FL 32008-3275 - Phone
- (386) 935-1093
- Fax
- (386) 935-3113
- NPI assigned
- Oct 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Bienvenido M Samera, M.D.
- Title
- President
- Phone
- (386) 935-1093
Practitioners 1
-
Bienvenido Samera, M.D., P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110328000274 | FL | Part B Supplier - Clinic/Group Practice | 2668655747 |
Receives reassigned benefits from 1 practitioner Practice locations: Branford, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ME0028682 | FL | Yes |
Addresses
Primary practice location
303 Suwannee Ave NW
Branford, FL 32008-3275
Mailing address
PO Box 846
Branford, FL 32008-0846
Phone (386) 935-1093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038392900 | Medicaid | FL |
Other names
- Branford Family Medical Center
Other providers in Branford, FL
- Ajm Transport Company LLC
- Melissa Dee Anderson-Barnes
- Dan Terry Barnes Jr.
- La-Sheria Lamarra Bradley
- Branford Family Medical Center Inc
- Lillian Prine Byrd
- James Joseph Cartwright
- Jillian Cassube
All providers in Branford, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.