Active NPI
Albert T Petrosino MD & Mehrzad Ghafghaichi MD PTR
- Internal Medicine Physician
- Bradenton, FL
National Provider Identifier
1083822290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME67012
- Legal business name
- ALBERT T PETROSINO MD & MEHRZAD GHAFGHAICHI MD PTR
- Practice address
- 2902 59TH St W Ste E
Bradenton, FL 34209-7021 - Phone
- (941) 794-5732
- Fax
- (941) 795-5517
- NPI assigned
- May 19, 2007
- Last updated
- May 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert T Petrosino, M.D.
- Title
- Doctor
- Phone
- (941) 794-5732
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME67012 | FL | Primary |
Addresses
Primary practice location
2902 59TH St W Ste E
Bradenton, FL 34209-7021
Mailing address
2902 59TH St W Ste E
Bradenton, FL 34209-7021
Phone (941) 794-5732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2902 59th St W
Ste E
Bradenton, FL 34209
Phone (941) 794-5732
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1386641561
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1811994098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1083822290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 59TH ST W STE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342097021",
"telephone_number": "941-794-5732",
"fax_number": "941-795-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 59TH ST W STE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342097021",
"telephone_number": "941-794-5732",
"fax_number": "941-795-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT T PETROSINO MD & MEHRZAD GHAFGHAICHI MD PTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "PETROSINO",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "941-794-5732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME67012",
"primary": true
}
],
"identifiers": [],
"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 May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.