Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roger C. Brainard, MD, PA

Organization Specialist · NPI 1720390875

Roger C. Brainard, MD, PA is a Specialist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3006 W Azeele St
Tampa, FL 33609-3139
Phone: (813) 874-3006
Fax: (813) 876-6258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME34885 (FL)

Record details

NPI number1720390875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Penrod — Billing Manager · (813) 876-2324
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010
Mailing address3006 W Azeele St, Tampa, FL 33609-3139

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