Active NPI
Synergy Medical Group
- Internal Medicine Physician
- Brandon, FL
National Provider Identifier
1851493712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SYNERGY MEDICAL GROUP
- Practice address
- 119 Oakfield Dr
Brandon, FL 33511-5779 - Phone
- (813) 685-2191
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Nussbaum, MD
- Title
- Owner
- Phone
- (813) 685-2191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Mailing address
321 E Robertson St
Brandon, FL 33511-5253
Phone (813) 685-2191
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851493712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115253",
"telephone_number": "813-685-2191",
"fax_number": "813-689-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-685-2191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-685-2191",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.