Accidentinjurydrs LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ACCIDENTINJURYDRS LLC

Practice address

502 S Macdill Ave
Tampa, FL 33609-3039

Phone

(813) 465-9999

Fax

(813) 877-1222

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Venkata Bireddy, M.D

Title

Owner

Phone

(813) 465-9999

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1912768581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093039",
            "telephone_number": "813-465-9999",
            "fax_number": "813-877-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093039",
            "telephone_number": "813-465-9999",
            "fax_number": "813-877-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENTINJURYDRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "BIREDDY",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-465-9999",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.