DR. BRANDON JAMES KAMBACH (NPI# 1992740443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992740443 |
| Entity Type | Individual |
| Full Name | DR. BRANDON JAMES KAMBACH |
| Credential | M.D. |
| Practice Address |
14540 Old Saint Augustine Rd Ste 2201 Credentialing Department Jacksonville FL 32258-7418 |
| Mailing Address |
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566 |
| Practice Telephone | 9048801260 |
| Practice Fax Number | 9048801210 |
| Mailing Telephone | 9043763707 |
| Mailing Fax Number | 9048801210 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME96051 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME96051 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00345043 | 01 |
| FL | 275979900 | 05 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD STE 2201 CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271917 | Richard A Picerno II | Orthopaedic Surgery | 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418 | 2005-08-09 |
| 1730479551 | Phillip M Bell | Orthopaedic Surgery | 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418 | 2011-04-13 |
| 1760711097 | Baptist Primary Care Inc | Internal Medicine | 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418 | 2009-12-16 |
| 1659344489 | Gregory Solis | Orthopaedic Surgery | 14540 Old Saint Augustine Rd Ste 2201, Credentialing Department, Jacksonville, FL 32258-7418 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1457869323 | Es Optimal Health Network of Florida, LLC | Orthopaedic Surgery | 1301 Riverplace Blvd # 800b, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1376768580 | Rogozinski Orthopedic Clinic, P.a. | Orthopaedic Surgery | 3716 University Boulevard South, Suite 3, Jacksonville, FL 32216-4318 | 2007-04-13 |
| 1194805085 | Arnold Graham Smith | Orthopaedic Surgery | 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 | 2006-10-16 |
| 1184185464 | Sfl Care of Fl II, LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032 | 2019-03-28 |
| 1437434727 | Coastal Orthopaedics and Spinal Surgery Pa | Orthopaedic Surgery | 2580 Henderson Dr, Jacksonville, NC 28546-5252 | 2011-10-18 |
| 1568487635 | Robert K. Hurford Jr. | Orthopaedic Surgery | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2006-07-12 |
| 1912994377 | Abraham Rogozinski | Orthopaedic Surgery | 3716 University Blvd S, Suite 3, Jacksonville, FL 32216-4355 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| 1275041147 | Spine Cin of West Palm LLC | Orthopaedic Surgery | 4440 Pga Blvd # 600a, Palm Beach Gardens, FL 33410-6539 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.