George Roger Dunkelberger, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8970 Issued in FL

Practice address

6776 54TH Ave N
Suite B
St Petersburg, FL 33709-1405

Phone

(727) 548-8500

Fax

(727) 317-3758

NPI assigned

Apr 12, 2006

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Our Family Doctors P L L C

  • Family Medicine Physician
  • Largo, FL
  • NPI 1154417350
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1760446363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 54TH AVE N",
            "address_2": "SUITE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091405",
            "telephone_number": "727-548-8500",
            "fax_number": "727-317-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 54TH AVE N",
            "address_2": "SUITE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091405",
            "telephone_number": "727-548-8500",
            "fax_number": "727-317-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKELBERGER",
        "first_name": "GEORGE",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014675900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7260316",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37965",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01450402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joia Dukes, PHARMD
• Terry Rae Dulle, RN
• Juan Antonio Dumois III, M.D.
• Jamila Glenda Dunbar
• Irielle Duncan
• Brenda Dunlap, ARNP
• Timothy M Dunlevy, MD
• Kari Dunmars
• Briana Dunn
• Sandra S. Dunn, MSW, LCSW

• 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 Feb 23, 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.