Bienvenido M. Samera, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0028682 Issued in 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

Last updated

Oct 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bienvenido M Samera, M.D.NPI 1639199243

Title

President

Phone

(386) 935-1093

Specialties & licenses 1

Addresses

Other names 1

• Branford Family Medical Center Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bienvenido Samera, M.D., P.A.

  • Family Medicine Physician
  • Branford, FL
  • NPI 1639199243
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1740590751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320080846",
            "telephone_number": "386-935-1093",
            "fax_number": "386-935-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SUWANNEE AVE NW",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320083275",
            "telephone_number": "386-935-1093",
            "fax_number": "386-935-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVENIDO M. SAMERA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SAMERA",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-935-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0028682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branford Family Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ajm Transport Company LLC
• Melissa Dee Anderson-Barnes, D.M.D.
• Dan Terry Barnes Jr., D.M.D.
• La-Sheria Lamarra Bradley, APRN
• Branford Family Medical Center Inc
• Lillian Prine Byrd, APRN
• James Joseph Cartwright, ARNP
• Jillian Cassube, DC

• Family Medicine Physician in Branford, FL
• Providers in Branford, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.