Individual provider Active NPI

Charles Vilar, FNP-C

  • Adult Medicine Physician
  • Bradenton, FL
National Provider Identifier
1043160625
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
11044979 Issued in FL
Practice address
311 3Rd Ave E
Bradenton, FL 34208-1014
Phone
(941) 708-3358
NPI assigned
Feb 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 11044979 FL Primary

Addresses

Primary practice location

311 3Rd Ave E
Bradenton, FL 34208-1014

Mailing address

311 3Rd Ave E
Bradenton, FL 34208-1014
Phone (941) 708-3358

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
I20260317000539 FL Practitioner - Nurse Practitioner 7012490121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11225 Estia Dr
Unit 220
Bradenton, FL 34211-2391

11225 Estia Dr Unit
Suite 220
Bradenton, FL 34211-2391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11044979FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose F Polanco MD PA CurrentSince Jan 4, 2026 Accepting new patients

Locations

311 3rd Ave E
Bradenton, FL 34208
Phone (941) 708-3358

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGDBA/Endpoint/JAGDBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1043160625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081014",
            "telephone_number": "941-708-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081014",
            "telephone_number": "941-708-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILAR",
        "first_name": "CHARLES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "11044979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.