DR. TIMOTHY N. BRUNDAGE (NPI# 1922058775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922058775 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY N. BRUNDAGE |
| Credential | M.D. |
| Practice Address |
6500 38th Ave N St Petersburg FL 33710-1629 |
| Practice Telephone | 7273444795 |
| Practice Fax Number | 7273444712 |
| Mailing Telephone | 7273444795 |
| Mailing Fax Number | 7273444712 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME 88586 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 44144 | 01 |
| FL | 2704552-00 | 05 |
| Street Address |
6500 38TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330874 | Maritime Er Svcs Partnership LLC | Emergency Medicine | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2006-05-08 |
| 1841829504 | Jonas Cohen | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-05 |
| 1700415411 | Saksham Varshney | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1134758824 | Mark Azmy | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1669001525 | Benjamin David Heflin | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-03 |
| 1386273472 | Michael Ray Epps Jr. | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1013546001 | Michael Fox | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1225667280 | Aalok Shah | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1861020950 | Humdoon Choudhry | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| 1588292692 | Matthew David Nichols | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| Find all providers in the same location | ||||
| 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 | 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 | 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.