BRANDON WILLIAM TERIBERY
NPI 1093465700
General Practice in Largo, FL

Q: What is Brandon Teribery's NPI number?

The NPI number for Brandon Teribery is 1093465700. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Brandon Teribery's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Teribery was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2022PECOS Enrolled

201 14TH ST SW, LARGO, FL 33770(727) 588-5704 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Brandon William Teribery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON WILLIAM TERIBERY (NPI 1093465700) is an individual general practice provider in Largo, Florida, licensed in Arizona (010539) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093465700

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameBRANDON WILLIAM TERIBERY

Location Address201 14TH ST SWLargo, FL 33770-3199

Mailing Address201 14th St SwLargo, FL 33770-3199

Phone(727) 588-5704

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateAugust 9, 2023

NPPES CertifiedAugust 9, 2023

✔ NPI 1093465700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AZ · 010539

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

201 14TH ST SW, Largo, FL 33770

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon William Teribery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAOUL RUDOLPH BOTHA MD

Internal Medicine