Individual provider Active NPI

Benjamin Duppstadt, DO

  • Emergency Medicine Physician
  • Brandon, FL
National Provider Identifier
1740922061
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS21133 Issued in FL
Practice address
119 Oakfield Dr
Brandon, FL 33511-5779
Phone
(813) 997-2308
NPI assigned
Apr 7, 2022
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X OS21133 FL Primary
Emergency Medicine Physician 207P00000X 105727 GA

Addresses

Primary practice location

119 Oakfield Dr
Brandon, FL 33511-5779

Mailing address

919 Floresta St
Brandon, FL 33511-6528

Other practice location 1

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NC, VA, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20250815000283 FL Practitioner - Emergency Medicine 4385143551 Reassigns benefits to 2 organizations
I20251211004381 GA Practitioner - Emergency Medicine 4385143551 Reassigns benefits to 1 organization
I20260106000605 NC Practitioner - Emergency Medicine 4385143551 Reassigns benefits to 1 organization
I20260205000262 VA Practitioner - Emergency Medicine 4385143551 Reassigns benefits to 1 organization
I20260211000008 SC Practitioner - Emergency Medicine 4385143551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6111

401 N Live Oak Dr
Hwy 17a
Moncks Corner, SC 29461-5603
Phone (843) 761-8721

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21133FLMDEmergency Medicine Physician
105727GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Emergency Coverage, LLC Single Specialty CurrentSince Sep 25, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Paragon Emergency Services LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

401 N Live Oak Dr
Ste A
Moncks Corner, SC 29461
Phone (843) 761-2815

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1740922061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FLORESTA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "813-997-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 WHEELER RD",
            "address_purpose": "LOCATION",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "country_code": "US",
            "telephone_number": "706-651-6105",
            "fax_number": "706-868-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPPSTADT",
        "first_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS21133",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "105727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.