Active NPI
John Van Tran, D.P.M.
- Podiatrist
- Brandon, FL
National Provider Identifier
1811959729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3132
- Practice address
- 505 Eichenfeld Dr
Suite 108
Brandon, FL 33511-5985 - Phone
- (813) 685-6922
- Fax
- (813) 685-8308
- NPI assigned
- Apr 5, 2006
- Last updated
- Dec 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3132 | FL | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO3132 | FL | |
| Sports Medicine Podiatrist | 213ES0000X | PO3132 | FL | |
| Foot Surgery Podiatrist | 213ES0131X | PO3132 | FL |
Addresses
Primary practice location
505 Eichenfeld Dr
Suite 108
Brandon, FL 33511-5985
Mailing address
505 Eichenfeld Dr
Suite 108
Brandon, FL 33511-5985
Phone (813) 685-6922
Other names 1
- Dr. John Phuc Van Tran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Podiatrist
- Brandon, FL
- NPI 1043262173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293753600000",
"number": "1811959729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 EICHENFELD DR",
"address_2": "SUITE 108",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115985",
"telephone_number": "813-685-6922",
"fax_number": "813-685-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 EICHENFELD DR",
"address_2": "SUITE 108",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115985",
"telephone_number": "813-685-6922",
"fax_number": "813-685-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JOHN",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2010-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3132",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO3132",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "FL",
"license": "PO3132",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO3132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN PHUC",
"last_name": "TRAN",
"middle_name": "VAN",
"prefix": "DR.",
"credential": "D.P.M.",
"code": "2",
"type": "Professional Name"
}
]
}
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 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.