BRANDON PSYCHIATRIC GROUP LLC
NPI 1952710147
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Brandon, FL

Active since August 13, 2014
106 W WINDHORST RD, BRANDON, FL 33510(678) 923-6025 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2019, Jul 11, 2016, Feb 26, 2016 (3 updates tracked since 2016).

About Brandon Psychiatric Group Llc NPPES

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

BRANDON PSYCHIATRIC GROUP LLC (NPI 1952710147) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Brandon, Florida and active in the NPI registry since August 2014. The organization lists Hany Botros Mikhail, President, as its authorized official.

NPPES Registry Identity

NPI1952710147
Entity TypeOrganization
Primary Taxonomy2084B0040X
Legal Business NameBRANDON PSYCHIATRIC GROUP LLC
Location Address106 W WINDHORST RDBrandon, FL 33510-2455
Mailing AddressPo Box 1584Cumming, GA 30028-1584 · (678) 923-6025 · Fax (813) 413-6660
Organization SubpartNo
Authorized OfficialHany Botros MikhailPresident · (678) 923-6025
Enumeration DateAugust 13, 2014
Last NPPES UpdateFebruary 6, 20193 updates tracked since enumeration
✔ NPI 1952710147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
License✔ Licensed in FL · 95351
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
106 W WINDHORST RD, Brandon, FL 33510

Other Identifiers 1

Medicaid275940302FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Psychiatric Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Brandon Psychiatric Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1831781392
106 W WINDHORST RD
Brandon, FL 33510
(813) 373-9531
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1013014737
106 W WINDHORST RD
Brandon, FL 33510
(678) 923-6025
✔ PECOSSame address
Nurse Practitioner
NPI 1093854929
106 W WINDHORST RD
Brandon, FL 33510
(813) 401-2135
✔ PECOSSame address
Nurse Practitioner
NPI 1891339776
131 N OAKWOOD AVE # 135
Brandon, FL 33510
(813) 603-0459
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1851947600
1211 TECH BLVD
Tampa, FL 33619
(813) 327-4080
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1366923393
1201 6TH AVE W STE 100
Bradenton, FL 34205
(941) 304-7001
✔ PECOS37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychiatric Group LLC's NPI number?

The NPI number for Brandon Psychiatric Group LLC is 1952710147. It was assigned to this organization in the NPPES registry on August 13, 2014.

Where is Brandon Psychiatric Group LLC located?

Brandon Psychiatric Group LLC is located at 106 W Windhorst Rd, Brandon, FL 33510. The listed phone number is (678) 923-6025.

What is Brandon Psychiatric Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Brandon Psychiatric Group LLC enrolled in Medicare?

Yes. Brandon Psychiatric Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brandon Psychiatric Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Brandon Psychiatric Group LLC. 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 (5) and Psychiatry (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brandon Psychiatric Group LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Brandon Psychiatric Group 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 Psychiatric Group LLC was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.