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KONSTANTIN BRNJOS
NPI 1245715804
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since September 30, 2018PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-8017 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2022, Sep 30, 2018 (2 updates tracked since 2018).

About Konstantin Brnjos NPPES

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

KONSTANTIN BRNJOS (NPI 1245715804) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245715804
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKONSTANTIN BRNJOS
Location Address1600 SW ARCHER RDGainesville, FL 32610-2909
Mailing AddressPo Box 103450Gainesville, FL 32610-3450 · (352) 265-8017
Phone(352) 265-8017
Sole ProprietorYes
Enumeration DateSeptember 30, 2018
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1245715804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
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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)

Konstantin Brnjos 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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Konstantin Brnjos's NPI number?

The NPI number for Konstantin Brnjos is 1245715804. It was assigned to this individual provider in the NPPES registry on September 30, 2018.

Where is Konstantin Brnjos located?

Konstantin Brnjos practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-8017.

What is Konstantin Brnjos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Konstantin Brnjos enrolled in Medicare?

Yes. Konstantin Brnjos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Konstantin Brnjos was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.