Unknown Individual – Orthopaedic Surgery Physician, NPI 1982667515

Unknown Individual is a healthcare provider. based in Brandon, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME0046498 (FL). The NPI Number for Unknown Individual is 1982667515

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982667515
Phone
(813) 684-3707
Address
721 W ROBERTSON ST
Deactivation Date
3 April 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
8136330286
Graduation Year
1980 (46 years ago)
PAC ID
3274607981
Group Practice PAC ID
1052224102
Professional Enrollment ID
I20120511000433
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 721, West Robertson Street, Brandon, Hillsborough County, Florida, 33511, United States

    STE 102

    BRANDON, FL 335114934

    Phone: (813) 684-3707

    Fax: (813) 643-2457

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33511)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule314237
ORTHOPEDIC SURGERYFL73110X-ray of wrist, minimum of 3 views1211
ORTHOPEDIC SURGERYFL73562X-ray of knee, 3 views185152

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052224102View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1982667515 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Brandon, Florida may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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