Skip Navigation

Provider Information for 1073564555

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

BRIAN S PACHMAYER MD

Gender: MALE

Individual NPI: 1073564555

Calendar   Last Updated:  2020-03-10
  Certification Date:  2020-03-10

Details

Name Value
NPI 1073564555
Enumeration Date 2006-05-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10051 5TH ST N STE 200
ST PETERSBURG, FL 33702-2211
United States

Phone: 727-824-0780 | Fax:
View Map External Link
Primary Practice Address 10051 5TH ST N STE 200
ST PETERSBURG, FL 33702-2211
United States

Phone: 727-824-0780 | Fax: 813-514-8891
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 017869200
MEDICAID OH 2187459
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME128092
No 208M00000X - Hospitalist OH 35078106
No 207R00000X - Internal Medicine OH 35078106