Active NPI
Audrey M. Bellant, D.O.
- Family Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12436
- Practice address
- 959 W Jefferson St
Brooksville, FL 34601-2427 - Phone
- (352) 799-7000
- Fax
- (352) 799-7077
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO3111 | FL | |
| Family Medicine Physician | 207Q00000X | OS12436 | FL | Primary |
Addresses
Primary practice location
959 W Jefferson St
Brooksville, FL 34601-2427
Mailing address
959 W Jefferson St
Brooksville, FL 34601-2427
Phone (352) 799-7000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150831001952 | FL | Practitioner - Family Practice | 4385950773 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osteopathic Heritage, P.a.
Practice addresses (Care Compare)
959 W Jefferson St
Brooksville, FL 34601-2427
Phone (352) 799-7000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12436 | FL | MD | Family Medicine Physician |
| UO3111 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteopathic Heritage, P.a. | Current | Accepting new patients | |
| Osteopathic Heritage, P.a. | Family Medicine | Current | Accepting new patients |
| Osteopathic Heritage, P.a. | Family Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients |
Locations
959 W Jefferson St
Brooksville, FL 34601
Phone (352) 666-6950
118 Seven Hills Dr
Spring Hill, FL 34609
Phone (352) 666-6950
120 Medical Blvd
Ste 103
Spring Hill, FL 34609
Phone (352) 340-2115
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- abellant295868@direct.tgh.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1316196744
Family Medicine, FL
-
- Adult Medicine Physician
- Weeki Wachee, FL
- NPI 1215107206
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972866010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 W JEFFERSON ST",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346012427",
"telephone_number": "352-799-7000",
"fax_number": "352-799-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 W JEFFERSON ST",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346012427",
"telephone_number": "352-799-7000",
"fax_number": "352-799-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLANT",
"first_name": "AUDREY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO3111",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.