Organization Active NPI

Gainesville Geriatric

  • Geriatric Medicine (Family Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1750835211
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
L16000146361 Issued in FL
Legal business name
GAINESVILLE GERIATRIC
Practice address
1000 SW 16TH Ave
Gainesville, FL 32601-8425
Phone
(352) 328-1529
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. John F Brandt, MDNPI 1689606030
Title
Ceo
Phone
(352) 514-6476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X L16000146361 FL Primary

Addresses

Primary practice location

1000 SW 16TH Ave
Gainesville, FL 32601-8425

Mailing address

5200 NW 43Rd St
Suite 102/387
Gainesville, FL 32606-4484
Phone (352) 328-1529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161031002251 FL Part B Supplier - Clinic/Group Practice 1254619919 Receives reassigned benefits from 9 practitioners
Practice locations: Cross City, FL; Willistion, FL; Gainesville, FL

National Provider Directory

National Provider Directory

Locations

5200 NW 43rd St
Ste 102387
Gainesville, FL 32606

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1750835211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NW 43RD ST",
            "address_2": "SUITE 102/387",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064484",
            "telephone_number": "352-328-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SW 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326018425",
            "telephone_number": "352-328-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE GERIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-514-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "L16000146361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.