NPIMap

Organization Active NPI

Sarasota Spine & Sport Chiropractic Clinic

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1003330838
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC
Practice address
5517 21St Ave W Ste F
Bradenton, FL 34209-5604
Phone
(941) 321-9002
Fax
(941) 926-1166
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan A Berman, DC
Title
Owner
Phone
(941) 926-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5517 21St Ave W Ste F
Bradenton, FL 34209-5604

Mailing address

3900 Clark Rd Ste H1
Sarasota, FL 34233-2366
Phone (941) 926-1600

Other identifiers 1

IdentifierTypeStateIssuer
7276950002OtherFLDME

National Provider Directory

National Provider Directory

Locations

3900 Clark Rd
Ste H1
Sarasota, FL 34233
Phone (941) 926-1600

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1003330838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE H1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332366",
            "telephone_number": "941-926-1600",
            "fax_number": "941-926-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 21ST AVE W STE F",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095604",
            "telephone_number": "941-321-9002",
            "fax_number": "941-926-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA SPINE & SPORT CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-926-1600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7276950002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.