DR. TERESA PULLARA BRANDT (NPI# 1831197060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831197060 |
| Entity Type | Individual |
| Full Name | DR. TERESA PULLARA BRANDT |
| Credential | MD |
| Practice Address |
621 Medical Care Dr Brandon FL 33511-5942 |
| Practice Telephone | 8136573330 |
| Practice Fax Number | 8136573348 |
| Mailing Telephone | 8136573330 |
| Mailing Fax Number | 8136573348 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0038477 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS | 30404 | 01 |
| FL | 068641700 | 05 |
| Street Address |
621 MEDICAL CARE DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964253 | Stacy Lynn Perez | Specialist | 621 Medical Care Dr, Brandon, FL 33511-5942 | 2005-07-07 |
| 1932653839 | Erica Underwood | Nurse Practitioner | 621 Medical Care Dr, Brandon, FL 33511-5942 | 2016-08-08 |
| 1417396714 | Brittany Erin Hearn | Dermatology | 621 Medical Care Dr, Brandon, FL 33511-5942 | 2013-06-19 |
| 1245400399 | Teresa P Brandt Md Pa | Dermatology | 621 Medical Care Dr, Brandon, FL 33511-5942 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427530708 | Monye Cobb | Specialist | 131 N Moon Ave Ste 6, Brandon, FL 33510-4445 | 2018-09-03 |
| 1295197549 | John Humphreys | Specialist | 8 Conant Sq, Brandon, VT 05733-1018 | 2016-03-25 |
| 1396174405 | Tammie Parker | Specialist | 212 Lanoah Ln, Brandon, MS 39042-7897 | 2013-11-08 |
| 1871937441 | Marvin Shienbaum, M.d., L.L.C. | Specialist | 500 Vonderburg Dr Ste 110w, Brandon, FL 33511-5969 | 2013-04-25 |
| 1295072437 | Chambers Medical Group | Specialist | 1050 E Brandon Blvd, Brandon, FL 33511-5509 | 2013-01-08 |
| 1730449117 | Patricia Marie Paddock | Specialist | 205 E. Brandon Blvd., Suite C, Brandon, FL 33511 | 2012-05-21 |
| 1396984688 | Sunshine State Anesthesia Associates,p.l. | Specialist | 201 Noland Dr, Suite A, Brandon, FL 33511 | 2009-02-11 |
| 1245482330 | Amber Nicole Lund | Specialist | 105 W Front St, Brandon, MN 56315-4509 | 2008-10-21 |
| 1003076829 | James Lewis Crosthwait | Specialist | 102 Quail Hollow Pl, Brandon, MS 39047-9295 | 2008-06-16 |
| 1881852812 | Cecil G Jenkins | Specialist | 111 Sherwood Dr, Brandon, MS 39047-7803 | 2008-05-27 |
| Find all providers in BRANDON | ||||
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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.