BRANDON AREA PRIMARY CARE, PA
NPI 1326143397
Family Medicine in Brandon, FL
About Brandon Area Primary Care, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON AREA PRIMARY CARE, PA (NPI 1326143397) is a healthcare organization registered as a family medicine in Brandon, Florida and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Stephen David Parks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Area Primary Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Brandon Area Primary Care, PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Brandon, FL 33511
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0971105
Brandon Area Primary Care PA Brandon Office · Brandon, FLCertificate of Waiver 10D0955536
Brandon Area Primary Care, PA · Apollo Beach, FLFrequently 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 Brandon Area Primary Care, PA's NPI number?
The NPI number for Brandon Area Primary Care, PA is 1326143397. It was assigned to this organization in the NPPES registry on September 14, 2006.
Where is Brandon Area Primary Care, PA located?
Brandon Area Primary Care, PA is located at 500 Vonderburg Dr Suite 311 West, Brandon, FL 33511. The listed phone number is (813) 654-2445.
What is Brandon Area Primary Care, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brandon Area Primary Care, PA enrolled in Medicare?
Yes. Brandon Area Primary Care, PA is registered in the Medicare PECOS enrollment system.
When is Brandon Area Primary Care, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brandon Area Primary Care, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Brandon Area Primary Care, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (4) and Family Practice (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brandon Area Primary Care, PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Brandon Area Primary Care, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brandon Area Primary Care, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brandon Area Primary Care, PA was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Brandon Area Primary Care, Pa · NPI 1326143397
Family Medicine organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1326143397 (Entity type: Organization)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Parks, OWNER
## Practice location
- **Address:** 500 VONDERBURG DR, SUITE 311 WEST, Brandon, FL 33511-5964
- **Phone:** (813) 654-2445 · **Fax:** (813) 654-9885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (4), Family Practice (3); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2011
- **Other identifiers:** Medicare ID-Type Unspecified K0484 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326143397) · Data from the CMS NPPES public registry.