DR. TERESA PULLARA BRANDT MD NPI 1831197060

NPI Information

NPI: 1831197060
Provider Name: DR. TERESA PULLARA BRANDT, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
621 MEDICAL CARE DR
BRANDON, FL
ZIP 33511
Phone: (813) 657-3330
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DR. Teresa Pullara Brandt, MD is a specialist in Brandon, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Teresa Pullara Brandt, MD NPI is 1831197060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

621 MEDICAL CARE DR
BRANDON, FL
ZIP 33511-942
Phone: (813) 657-3330
Fax: (813) 657-3348

The enumeration date for this NPI number is 7/12/2005 and was last updated on 11/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME0038477	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30404W	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE INDV ID
2	068641700	MEDICAID	FLORIDA
3	D53976	MEDICARE UPIN	FLORIDA
4	K3965	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP ID
5	30404	OTHER	FLORIDA	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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