DR. DENVER BRILEY (NPI# 1366856403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366856403 |
| Entity Type | Individual |
| Full Name | DR. DENVER BRILEY |
| Credential | DO |
| Practice Address |
3955 58th St N St Petersburg FL 33709 |
| Mailing Address |
3955 58th St N St Petersburg FL 33709-6003 |
| Practice Telephone | 7273472557 |
| Practice Fax Number | 7273458972 |
| Mailing Telephone | 7273472557 |
| Mailing Fax Number | 7273458972 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20A16159 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS15745 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OT016121 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Mercy Ave, Merced, CA 953408319 | 2095645130 | 6266231227 |
| 5515 Peach St, Erie, PA 165092603 | 8148688206 |
| Street Address |
3955 58TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578756607 | Darla Diferdinando | Occupational Therapy Assistant | 3955 58th St N, St Petersburg, FL 33709-6003 | 2007-08-22 |
| 1720627631 | Angela Louise Heath | Pediatrics | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-12-26 |
| 1437700044 | R & J Family Medicine LLC | Family Medicine | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-09-25 |
| 1710547005 | Rj Pediatrics LLC | Nurse Practitioner | 3955 58th St N, St Petersburg, FL 33709-6003 | 2019-06-18 |
| 1518416510 | Roxene Susan Riles | Nurse Practitioner | 3955 58th St N, St Petersburg, FL 33709 | 2016-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785480 | Pinellas Medical Specialists | Internal Medicine | 5880 49th St N Ste N202, St Petersburg, FL 33709-2150 | 2020-06-17 |
| 1114567989 | Inthefeeling LLC | Internal Medicine | Inthefeeling LLC, 500 Dr Martin Luther King Jr St N Ste 400, St Petersburg, FL 33705-1475 | 2020-01-09 |
| 1225505571 | Williamsmd LLC | Internal Medicine | 5901 Sun Blvd Ste 206, St Petersburg, FL 33715-1161 | 2018-10-25 |
| 1467990028 | Medical Behavioral Services, Pa | Internal Medicine | 6101 9th St N, St Petersburg, FL 33703-1141 | 2017-02-03 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1639501265 | Bryant Wilson | Internal Medicine | 701 6th St. South, St Petersburg, FL 33701 | 2013-08-06 |
| 1639411077 | Rebecca Lee Negron | Internal Medicine | 3520 38th Ave N, St Petersburg, FL 33713-1448 | 2013-03-24 |
| 1437438710 | Jacek M Kucharewicz | Internal Medicine | 540 Trinity Ln N, #8412, St Petersburg, FL 33716-1278 | 2011-08-04 |
| 1104121920 | Simarta Frances Brennan-prescod | Internal Medicine | 8950 Dr Martin Luther King Jr St N Ste 180, St Petersburg, FL 33702-3001 | 2011-01-26 |
| 1558662700 | Mahmood Shahab Sori | Internal Medicine | 441 33rd St N, Apt #208, St Petersburg, FL 33713-9054 | 2010-11-04 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.