NPIMap

Organization Active NPI

Berland and McConnell MDS PA

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1780609255
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83697 Issued in FL
Legal business name
BERLAND AND MCCONNELL MDS PA
Doing business as
PATIENTS FIRST FAMILY MEDICINE
Practice address
11663 Countryway Blvd
Tampa, FL 33626-2739
Phone
(813) 891-6310
Fax
(813) 891-6889
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Gregory Alexander Berland, MD
Title
President
Phone
(813) 891-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME83697 FL Primary

Addresses

Primary practice location

11663 Countryway Blvd
Tampa, FL 33626-2739

Mailing address

P O Box 1945
Palm Harbor, FL 34682-1945
Phone (727) 771-1300

Other identifiers 1

IdentifierTypeStateIssuer
266998600MedicaidFL

Other names 1

  • PATIENTS FIRST FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

11663 Countryway Blvd
Tampa, FL 33626
Phone (813) 891-6310

11651 Countryway Blvd
Tampa, FL 33626
Phone (813) 891-6310

11741 Lake Aston Ct
Tampa, FL 33626

252B Highway 90
Bay St Louis, MS 39520
Phone (228) 467-0298

Practitioners & affiliated clinicians

Practitioners 3

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1780609255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1945",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346821945",
            "telephone_number": "727-771-1300",
            "fax_number": "727-781-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11663 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262739",
            "telephone_number": "813-891-6310",
            "fax_number": "813-891-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLAND AND MCCONNELL MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "BERLAND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-891-6310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266998600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENTS FIRST FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.