James Edmond O Brien, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS6987 Issued in FL

Practice address

3251 66TH St N
St Petersburg, FL 33710-1510

Phone

(727) 344-3627

NPI assigned

Aug 8, 2006

Last updated

Mar 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Pensacola Primary Care Inc

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1982643169
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1750391256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101510",
            "telephone_number": "727-344-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O BRIEN",
        "first_name": "JAMES",
        "middle_name": "EDMOND",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377770700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Teresa Nusca, M.D.
• Jonathan Nutter, MD
• Peter-Paul U Nwokeji, MD
• Michael Nyeki, RT
• Lora Diane Nylund, MSN, APRN
• Lindsay O'Berry
• Bianca Athena Corona O'Brien, APRN
• John J. O'Brien, M.D.
• Taylor Alexander O'Brien, MD, MPH
• Margaret O'Connell

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, 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 Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.