Individual provider Active NPI

Brian Stephen Garra, MD

  • Body Imaging Physician
  • Clermont, FL
National Provider Identifier
1831116649
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
ME134315 Issued in FL
Practice address
10810 Lake Minneola SHRS
Clermont, FL 34711-9400
Phone
(301) 332-9876
Fax
(301) 796-9925
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME134315 FL Primary
Body Imaging Physician 2085B0100X 042-0009657 VT

Addresses

Primary practice location

10810 Lake Minneola SHRS
Clermont, FL 34711-9400

Mailing address

8916 Tonbridge Ter
Adelphi, MD 20783-2052
Phone (301) 434-0506

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME134315FLMDBody Imaging Physician
042-0009657VTMDBody Imaging Physician

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1831116649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 TONBRIDGE TER",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207832052",
            "telephone_number": "301-434-0506",
            "fax_number": "301-796-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 LAKE MINNEOLA SHRS",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119400",
            "telephone_number": "301-332-9876",
            "fax_number": "301-796-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRA",
        "first_name": "BRIAN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME134315",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VT",
            "license": "042-0009657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.