TANNICE ALAM, MD — NPI 1114669074 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in BRANDON, FL)

CMS-1500 Box 24J / 33a • NPI

1114669074

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

515 S KINGS AVE STE 2000, BRANDON, FL, 33511-6060

✓ 9-Digit EDI 837 ZIP+4 (33511-6060)

Practice Phone & Referral Fax

(813) 685-0232

Fax: (888) 720-2039

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114669074 (TANNICE ALAM, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114669074` (NPI-1 Individual Practitioner)
Provider / Legal Name	TANNICE ALAM, MD
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	515 S KINGS AVE STE 2000, BRANDON, FL, 33511-6060
Practice Telephone / Fax	Tel: (813) 685-0232 \| Fax: (888) 720-2039
Administrative Mailing Address	PO BOX 748817, ATLANTA, GA, 30374-8817
Enumeration & Last Sync	Enumerated: 2022-04-11 \| CMS Record Updated: 2026-08-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

515 S KINGS AVE STE 2000, BRANDON, FL, 33511-6060

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TANNICE ALAM, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: FL \| License: `ME182506` \| Primary: Yes (Primary)
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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TANNICE ALAM, MD (NPI #1114669074)