Active NPI
Robert Harrison Brandon II, D.O.
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 243361
- Practice address
- 470 E Fordham Rd
Bronx, NY 10458-5108 - Phone
- (718) 960-3805
- Fax
- (718) 960-3806
- NPI assigned
- Mar 19, 2010
- Last updated
- Mar 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 243361 | NY | Primary |
Addresses
Primary practice location
470 E Fordham Rd
Bronx, NY 10458-5108
Mailing address
470 E Fordham Rd
Bronx, NY 10458-5108
Phone (718) 960-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243361 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| St. Joseph Emergency Medical Physicians PA | Current | Accepting new patients | |
| W4P LLC | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
dba Florida Regional Emergency Associates
- Emergency Medicine Physician
- Port Charlotte, FL
- NPI 1053358903
-
dba Hernando County Emergency Physicians
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1689116618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1902120942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585108",
"telephone_number": "718-960-3805",
"fax_number": "718-960-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585108",
"telephone_number": "718-960-3805",
"fax_number": "718-960-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "ROBERT",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "243361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.