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

Dr. Brian Matthew Lake, DO

Individual provider Internal Medicine Physician · NPI 1295887040

Dr. Brian Matthew Lake, DO is an Endocrinology in Largo, Florida. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2004, 22 years ago. Practices with Lake Endocrinology and Diabetes, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
22
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
FL, SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13123 66th St
Largo, FL 33773-1812
Phone: (727) 477-1039
Fax: (727) 477-0498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence OS9591 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS9591 (FL)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 1056 (SC)

Record details

NPI number1295887040
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESMay 2, 2021
Certification dateMay 2, 2021
Mailing address13123 66th St, Largo, FL 33773-1812

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2004 (22 years in practice)
Group practice Lake Endocrinology And Diabetes, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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