Active NPI
Carol M Kershbaum, MD
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1982866182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME050030
- Practice address
- 1211 E Cumberland Ave
Tampa, FL 33602-4231 - Phone
- (813) 412-7667
- NPI assigned
- Jun 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME050030 | FL | Primary |
Addresses
Primary practice location
1211 E Cumberland Ave
Tampa, FL 33602-4231
Mailing address
1211 E Cumberland Ave
Tampa, FL 33602-4231
Phone (813) 412-7667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME050030 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1982866182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E CUMBERLAND AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024231",
"telephone_number": "813-412-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 E CUMBERLAND AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024231",
"telephone_number": "813-412-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHBAUM",
"first_name": "CAROL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-28",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME050030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.