Valrico Brandon Medical Group,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALRICO BRANDON MEDICAL GROUP,INC

Practice address

2237 Lithia Center LN
Valrico, FL 33594-5676

Phone

(813) 662-0123

Fax

(813) 662-9422

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Fred Bearison, M.D.

Title

Medical Director

Phone

(813) 662-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRANDON FAMILY PRACTICE Doing business as

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1972554673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 LITHIA CENTER LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945676",
            "telephone_number": "813-662-0123",
            "fax_number": "813-662-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 LITHIA CENTER LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945676",
            "telephone_number": "813-662-0123",
            "fax_number": "813-662-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALRICO BRANDON MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BEARISON",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-662-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "97072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRANDON FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shay Simha Uliel
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• Karen Dale Unger, APRN, LMHC, ED.D.
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• Avegille Tabelon Uy, PT
• Valrico Family Chiropractic, LLC
• Valrico Medical Clinic, PA
• Isabel Marie Vargas
• Sonia Varghese, ARNP, FNP-BC
• Sharda M Vekariya, APRN

• Internal Medicine Physician in Valrico, FL
• Providers in Valrico, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.