MEDICARE: ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	208000000X	Pediatrics Physician
3	363A00000X	Physician Assistant
4	363LF0000X	Family Nurse Practitioner
5	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1073462206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Provider Business Mailing Address
First Line	:	2600 WESTHALL LN
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7102
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	49513 US HIGHWAY 27
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-9507
Country	:	US
Telephone Number	:	863-588-4811
Fax Number	:	863-588-4812

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT C BRADY
Credential	:	MD
Telephone Number	:	407-200-2300

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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1790634418 — ADVENTIST HEALTH SYSTEM/SUNBELT, INC
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49515 US HWY 27
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33897-9507

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Practice Fax: 863-588-4817

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