Organization Active NPI

Bradley S Bessant OD PA

  • Optometrist
  • Brandon, FL
National Provider Identifier
1801031810
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2974 Issued in FL
Legal business name
BRADLEY S BESSANT OD PA
Practice address
201 S Kings Ave
Suite #4
Brandon, FL 33511-5712
Phone
(813) 681-3863
Fax
(813) 681-3077
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Bradley S Bessant, OD
Title
President
Phone
(813) 681-3863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2974 FL Primary

Addresses

Primary practice location

201 S Kings Ave
Suite #4
Brandon, FL 33511-5712

Mailing address

201 S Kings Ave
Suite #4
Brandon, FL 33511-5712
Phone (813) 681-3863

Other identifiers 1

IdentifierTypeStateIssuer
620351500MedicaidFL

National Provider Directory

National Provider Directory

Locations

201 S Kings Ave
Ste 4
Brandon, FL 33511
Phone (813) 681-3863

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1801031810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S KINGS AVE",
            "address_2": "SUITE #4",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115712",
            "telephone_number": "813-681-3863",
            "fax_number": "813-681-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S KINGS AVE",
            "address_2": "SUITE #4",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115712",
            "telephone_number": "813-681-3863",
            "fax_number": "813-681-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY S BESSANT OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "BESSANT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-681-3863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620351500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.