Organization Active NPI

Carlos a Mendez MD PA

  • Pediatrics Physician
  • Bradenton, FL
National Provider Identifier
1043628118
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME46189 Issued in FL
Legal business name
CARLOS A MENDEZ MD PA
Practice address
802 40TH St W
Bradenton, FL 34205-1724
Phone
(941) 748-5885
Fax
(941) 749-5664
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dr. Carlos A Mendez, M.D.
Title
Physician
Phone
(941) 748-5885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME46189 FL Primary

Addresses

Primary practice location

802 40TH St W
Bradenton, FL 34205-1724

Mailing address

802 40TH St W
Bradenton, FL 34205-1724
Phone (941) 748-5885

Other identifiers 1

IdentifierTypeStateIssuer
271763800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1043628118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 40TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051724",
            "telephone_number": "941-748-5885",
            "fax_number": "941-749-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 40TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051724",
            "telephone_number": "941-748-5885",
            "fax_number": "941-749-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A MENDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-748-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME46189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271763800",
            "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 Aug 1, 2014; 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.