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

Michael Gene Niederbrach Jr.

Individual provider Family Medicine Physician · NPI 1083355846

Michael Gene Niederbrach Jr. is a Family Practice in St Petersburg, Florida. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2022, 4 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1800 66th St N Ste 210
St Petersburg, FL 33710-8747
Phone: (727) 893-6323
Fax: (727) 893-6324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 66th St N Ste 220, St Petersburg, FL 33710-8747 — (727) 893-6323

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME168138 (FL)

Record details

NPI number1083355846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2022 (4 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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