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BRANDON MEDICAL CARE
NPI 1548818073
Internal Medicine in Brandon, FL

Active since August 28, 2019CLIA 10D2176330 · Waiver
143 N OAKWOOD AVE, BRANDON, FL 33510(813) 734-8939 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Aug 28, 2019 (2 updates tracked since 2019).

About Brandon Medical Care NPPES

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

BRANDON MEDICAL CARE (NPI 1548818073) is a healthcare organization registered as an internal medicine in Brandon, Florida and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Shital Mehta, Owner, as its authorized official.

NPPES Registry Identity

NPI1548818073
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRANDON MEDICAL CARE LLC
Location Address143 N OAKWOOD AVEBrandon, FL 33510-4629
Mailing Address6328 Gunn Hwy Ste B33624Tampa, FL 33625-4101 · (813) 964-8526
Phone(813) 734-8939
Organization SubpartNo
Authorized OfficialShital MehtaOwner · (813) 734-8939
Enumeration DateAugust 28, 2019
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1548818073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
143 N OAKWOOD AVE, Brandon, FL 33510
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Other Names 1

Doing Business AsBrandon Medical Care

Other Identifiers 2

Medicaid800270806FL
Medicaid861112772FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2176330

Brandon Medical Care LLC · Brandon, FL
Active · expires Dec 11, 2027
CLIA Number10D2176330
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorShital Metha
Laboratory Phone(813) 734-8939
Laboratory LocationBrandon Medical Care LLC143 N Oakwood Ave, Brandon, FL 33510
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

VALRICO MEDICAL CARE, P.A.
General Practice
143 N OAKWOOD AVE
BRANDON, FL 33510
Hillsborough County (813) 685-4617

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 Brandon Medical Care LLC's NPI number?

The NPI number for Brandon Medical Care LLC is 1548818073. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Brandon Medical Care.

Where is Brandon Medical Care LLC located?

Brandon Medical Care LLC is located at 143 N Oakwood Ave, Brandon, FL 33510. The listed phone number is (813) 734-8939.

What is Brandon Medical Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Brandon Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2176330) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brandon Medical Care LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brandon Medical Care LLC 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 Medical Care LLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.