Individual provider Active NPI

Daniel H Ober, PA

  • Medical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1013902261
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102303 Issued in FL
Practice address
315 75TH St W
Bradenton, FL 34209-3201
Phone
(941) 761-1616
Fax
(941) 761-3807
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102303 FL Primary

Addresses

Primary practice location

315 75TH St W
Bradenton, FL 34209-3201

Mailing address

315 75TH St W
Bradenton, FL 34209-3201
Phone (941) 752-2025

Other identifiers 2

IdentifierTypeStateIssuer
292079400MedicaidFL
P00137887OtherFLRAIL ROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.OBER@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000759 FL Practitioner - Physician Assistant 8527101153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4525

2000 Health Park Dr
Brentwood, TN 37027-4692

Three Maryland Farms
Brentwood, TN 37027-5053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102303FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physician Network, LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1013902261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-752-2025",
            "fax_number": "941-752-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1616",
            "fax_number": "941-761-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBER",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292079400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00137887",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.OBER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "315 75th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342093201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.