Individual provider Active NPI

Audrey M. Bellant, D.O.

  • Family Medicine Physician
  • Brooksville, FL
National Provider Identifier
1972866010
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12436 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 13 clinicians

Practice addresses (Care Compare)

959 W Jefferson St
Brooksville, FL 34601-2427
Phone (352) 799-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS12436FLMDFamily Medicine Physician
UO3111FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Heritage, P.a. CurrentSince Jul 22, 2015 Accepting new patients
Osteopathic Heritage, P.a. Family Medicine CurrentSince Jul 22, 2015 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

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.