JENNIFER S BROYLES (NPI# 1235259011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235259011 |
| Entity Type | Individual |
| Full Name | JENNIFER S BROYLES |
| Other Name | JENNIFER SUE HEAD |
| Credential | MD |
| Practice Address |
6450 38th Ave N Ste 400 St Petersburg FL 33710-1653 |
| Practice Telephone | 7275454444 |
| Practice Fax Number | 7275455855 |
| Mailing Telephone | 7275454444 |
| Mailing Fax Number | 7275455855 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 41052 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1508624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568798221 | Jennifer Lynn Broyles | Massage Therapist | 3001 Wildflower Dr, Suite 125, Bryan, TX 77802-3061 | 2009-10-29 |
| 1467868919 | Jennifer Lee Broyles | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2014-07-05 |
| 1639584535 | Jennifer E. Broyles | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2014-06-30 |
| 1720351273 | Jennifer Rose Broyles | Counselor | 900 Broadway, Suite 1, Poteau, OK 74953 | 2012-02-14 |
| 1629204805 | Jennifer J. Broyles | Physical Therapist | 126 Mill Lane, Heartland Rehabilitation Services of Virginia, Inc, Salem, VA 24153 | 2009-06-02 |
| Street Address |
6450 38TH AVE N STE 400 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919951 | Rhc St Pete LLC | Family Medicine | 5999 Central Ave Ste 103, St Petersburg, FL 33710-8535 | 2020-10-13 |
| 1306452875 | Ohi West, Inc | Family Medicine | 700 6th St S Fl 3, St Petersburg, FL 33701-4815 | 2020-09-21 |
| 1609489541 | Binsey C Babu | Family Medicine | 8950 Dr Martin Luther King Jr St N Ste 102, St Petersburg, FL 33702-3001 | 2020-08-29 |
| 1588174585 | Elena Borisenko | Family Medicine | 5778 5th Ave N, St Petersburg, FL 33710-7104 | 2017-10-04 |
| 1336667187 | Amar Talati, Do, LLC | Family Medicine | 2901 1st Ave N Ste 301, St Petersburg, FL 33713-8640 | 2017-08-31 |
| 1265954085 | St. Petersburg Primary Care Associates | Family Medicine | 780 4th Ave S, St Petersburg, FL 33701-4412 | 2017-07-13 |
| 1659818102 | Diligent Care LLC | Family Medicine | 6743 14th Ave N, St Petersburg, FL 33710-5405 | 2017-01-23 |
| 1821476458 | Chantel Tenesia Jacobs | Family Medicine | 7751 9th St N, St Petersburg, FL 33702-1102 | 2015-05-15 |
| 1003228131 | Carolina Vac Nelson | Family Medicine | 7751 9th St N Ste 10, St Petersburg, FL 33702-1102 | 2014-05-23 |
| 1700205069 | Carol Thuy Vy Tran | Family Medicine | 6801 4th St N, St Petersburg, FL 33702 | 2014-04-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.