| Brandon Area Primary Care, PA | |
|
500 Vonderburg Dr Suite 311 West Brandon FL 33511-5964 | |
| (813) 654-2445 | |
| (813) 654-9885 |
| Full Name | Brandon Area Primary Care, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Vonderburg Dr, Brandon, Florida |
| Authorized Official Name and Position | Stephen David Parks (OWNER) |
| Authorized Official Contact | 8136542445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Area Primary Care, PA Po Box 242 Brandon FL 33509-0242 Ph: (813) 654-2445 | Brandon Area Primary Care, PA 500 Vonderburg Dr Suite 311 West Brandon FL 33511-5964 Ph: (813) 654-2445 |
| NPI Number | 1326143397 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 1759288269 |
|---|---|
| Medicare Enrollment ID | O20031215000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326143397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Billy M Knowles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649208596 PECOS PAC ID: 6002713526 Enrollment ID: I20031215000106 |
| Provider Name | Paula S Proch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710057484 PECOS PAC ID: 7618948761 Enrollment ID: I20040803001109 |
| Provider Name | Joe M Braden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619960804 PECOS PAC ID: 5193799054 Enrollment ID: I20040825000838 |
| Provider Name | Natassa L Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881630796 PECOS PAC ID: 7012976038 Enrollment ID: I20041006000389 |
| Provider Name | Gisela Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073506267 PECOS PAC ID: 5991712838 Enrollment ID: I20060316000571 |
| Provider Name | Vanessa Muniz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619202629 PECOS PAC ID: 9234279324 Enrollment ID: I20091222000171 |
| Provider Name | Scott Cameron Mclaurin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043545866 PECOS PAC ID: 5799827481 Enrollment ID: I20100119000187 |
| Provider Name | Jason Christopher Stibich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619905882 PECOS PAC ID: 8820261522 Enrollment ID: I20111130000114 |
| Provider Name | Stephen David Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255360749 PECOS PAC ID: 9931006459 Enrollment ID: I20111205000361 |
| Provider Name | Matthew D Bowser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356654198 PECOS PAC ID: 5991947848 Enrollment ID: I20130806000662 |
| Provider Name | Tanya Marie Singler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932458841 PECOS PAC ID: 3072814524 Enrollment ID: I20151229000901 |
| Provider Name | Kristine M Rednour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497767917 PECOS PAC ID: 7113987207 Enrollment ID: I20170315001542 |
| Provider Name | Daniel J Durocher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720529209 PECOS PAC ID: 6305174517 Enrollment ID: I20190827000742 |
| Provider Name | Sarah Marie Mastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342747 PECOS PAC ID: 3779916960 Enrollment ID: I20191202000890 |
| Provider Name | Arveny Negron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528477254 PECOS PAC ID: 1850698382 Enrollment ID: I20200210002459 |
| Provider Name | Shannon Jamerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841169 PECOS PAC ID: 2264603414 Enrollment ID: I20200317001917 |
| Provider Name | Christina Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881219178 PECOS PAC ID: 0547683997 Enrollment ID: I20220131000229 |
| Provider Name | Olan Halim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295751584 PECOS PAC ID: 0547285496 Enrollment ID: I20220328002526 |
| Provider Name | Vicki Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730132010 PECOS PAC ID: 0941216543 Enrollment ID: I20230126001780 |
| Provider Name | Michael Andrew Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265208904 PECOS PAC ID: 9739539347 Enrollment ID: I20231222000654 |
| Provider Name | Andrew Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487228128 PECOS PAC ID: 2961805270 Enrollment ID: I20240917005032 |
| Provider Name | Vanelis V Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144028267 PECOS PAC ID: 9830602499 Enrollment ID: I20250627002249 |
Verimed Health Group Brandon, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Vonderburg Dr Ste 310, Brandon, FL 33511 Phone: 813-324-9463 Fax: 813-502-6385 |
Medi Brandon LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-654-1110 |
Learning to Achieve Wellness Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 W Robertson St, Brandon, FL 33511 Phone: 813-999-1516 Fax: 813-336-8384 |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 |
Florida Medical Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 |