NPIMap

Individual provider Active NPI

Marie A Brister, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1811928120
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME118349 Issued in FL
Practice address
12400 N Dale Mabry Hwy
Tampa, FL 33618-3326
Phone
(813) 596-9326
Fax
(813) 894-7001
NPI assigned
Jul 5, 2006
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME118349 FL Primary

Addresses

Primary practice location

12400 N Dale Mabry Hwy
Tampa, FL 33618-3326

Mailing address

12400 N Dale Mabry Hwy
Tampa, FL 33618-3326
Phone (813) 596-9326

Other practice location 1

3505 E Hillsborough Ave Ste 101
Tampa, FL 33610-4547
Phone (813) 415-0100

Other identifiers 1

IdentifierTypeStateIssuer
115502900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000905 FL Practitioner - Family Practice 7911076674 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Senior Care IncGroup PAC ID 7618397886, 32 clinicians

Practice addresses (Care Compare)

12400 N Dale Mabry Hwy
Tampa, FL 33618-3326
Phone (813) 596-9326

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118349FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Senior Care Inc Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Morgan Park Health Services,LTD PastSince Mar 1, 2008 Accepting new patients
MSMC Investors, LLC Family Medicine Past Accepting new patients
MSMC Investors LLC Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Past Accepting new patients
Charles S Ovitsky PC Past Accepting new patients
Blue Island Clinic Company LLC Family Medicine Past Accepting new patients
Patient Medical Center of Florida Inc Family Medicine PastSince Apr 4, 2018 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

290 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 615-6642

12400 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 596-9326

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1811928120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183326",
            "telephone_number": "813-596-9326",
            "fax_number": "813-894-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183326",
            "telephone_number": "813-596-9326",
            "fax_number": "813-894-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 E Hillsborough Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336104547",
            "country_code": "US",
            "telephone_number": "813-415-0100",
            "fax_number": "813-415-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTER",
        "first_name": "MARIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115502900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.