Individual provider Active NPI

Aida R Berdasco Paz, MD

  • General Practice Physician
  • Brandon, FL
National Provider Identifier
1801820543
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN855 Issued in FL
Practice address
425 S Parsons Ave Ste 102
Brandon, FL 33511-5290
Phone
(813) 445-8033
Fax
(813) 378-8361
NPI assigned
Jul 10, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN855 FL Primary

Addresses

Primary practice location

425 S Parsons Ave Ste 102
Brandon, FL 33511-5290

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505000973 FL Practitioner - General Practice 5496990152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Family Primary Care Centers of Pinellas, LLC Current Accepting new patients
Greenbrook Medical Practice, PLLC CurrentSince May 1, 2025 Accepting new patients
Florida Family Primary Care Center of Pasco LLC Current Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

427 S Parsons Ave
Ste 120
Brandon, FL 33511
Phone (813) 358-4249

11200 E Dr Martin Luther King Jr Blvd
Ste 107
Seffner, FL 33584
Phone (813) 443-3399

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1801820543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S PARSONS AVE STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115290",
            "telephone_number": "813-445-8033",
            "fax_number": "813-378-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDASCO PAZ",
        "first_name": "AIDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.