JORGE MARIO GOMEZ BUSTAMANTE MD
NPI 1184133050
General Practice in Brandon, FL

Active since September 23, 2017PECOS EnrolledAccepts Medicare Assignment
823 S PARSONS AVE, BRANDON, FL 33511(813) 662-4841(813) 743-3111 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2026, Mar 24, 2026, Mar 5, 2024 and 5 more (8 updates tracked since 2017).

About Jorge Mario Gomez Bustamante Md NPPES

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

JORGE MARIO GOMEZ BUSTAMANTE MD (NPI 1184133050) is an individual general practice provider in Brandon, Florida, licensed in Florida (ACN980) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1184133050
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJORGE MARIO GOMEZ BUSTAMANTECredential: MD
Location Address823 S PARSONS AVEBrandon, FL 33511-6063
Mailing Address8333 Nw 53rd St Fl 6Doral, FL 33166-4783
Fax(813) 743-3111
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 23, 2017
Last NPPES UpdateJune 22, 20268 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1184133050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN980 Licensed in PR · 19770
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
823 S PARSONS AVE, Brandon, FL 33511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jorge Mario Gomez Bustamante Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597092908
PECOS Enrollment IDI20190808000305
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services19 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
25 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
13 services13 patients

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
823 S PARSONS AVE
BRANDON, FL 33511
General Practice
823 S PARSONS AVE
BRANDON, FL 33511
Family Medicine
823 S PARSONS AVE
BRANDON, FL 33511
Nurse Practitioner (Family)
823 S PARSONS AVE
BRANDON, FL 33511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Gomez Bustamante's NPI number?

The NPI number for Jorge Gomez Bustamante is 1184133050. It was assigned to this individual provider in the NPPES registry on September 23, 2017.

Where is Jorge Gomez Bustamante located?

Jorge Gomez Bustamante practices at 823 S Parsons Ave, Brandon, FL 33511. The listed phone number is (813) 662-4841.

What is Jorge Gomez Bustamante's specialty?

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

Is Jorge Gomez Bustamante enrolled in Medicare?

Yes. Jorge Gomez Bustamante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jorge Gomez Bustamante was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.