NPIMap

Organization Active NPI

Emergency Physicians of St Petersburg PA

  • Emergency Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1851726566
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY PHYSICIANS OF ST PETERSBURG PA
Practice address
701 6TH St S
St Petersburg, FL 33701-4814
Phone
(727) 823-1234
Fax
(727) 553-7395
NPI assigned
Sep 12, 2013
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Dr. Brian Hedrick, DONPI 1275551905
Title
President
Phone
(727) 553-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701-4814

Mailing address

603 7TH St S Ste 360
St Petersburg, FL 33701-4732
Phone (727) 553-7300

Other practice location 1

1800 66th St N
St Petersburg, FL 33710-8747
Phone (727) 823-1234

Other practice location 2

3070 Grand Ave
Pinellas Park, FL 33782-6149
Phone (386) 274-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131018001465 FL Part B Supplier - Clinic/Group Practice 1658433883 Receives reassigned benefits from 66 practitioners
Practice locations: Lutz, FL; Pinellas Park, FL; St Petersburg, FL; Wesley Chapel, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

603 7th St S
Ste 360
St Petersburg, FL 33701
Phone (727) 553-7300

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1851726566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 360",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-553-7300",
            "fax_number": "386-274-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-1234",
            "fax_number": "727-553-7395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108747",
            "country_code": "US",
            "telephone_number": "727-823-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3070 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337826149",
            "country_code": "US",
            "telephone_number": "386-274-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS OF ST PETERSBURG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-553-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.