Individual provider Active NPI

Bruce R Lipskind, M.D.

  • Cardiovascular Disease Physician
  • Bradenton, FL
National Provider Identifier
1093791287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0068183 Issued in FL
Practice address
316 Manatee Ave W
Bradenton, FL 34205-8805
Phone
(941) 748-2277
Fax
(941) 748-1958
NPI assigned
Dec 20, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0068183 FL Primary

Addresses

Primary practice location

316 Manatee Ave W
Bradenton, FL 34205-8805

Mailing address

316 Manatee Avenue West
Att: Ipm Credentialing
Bradenton, FL 34205-8805
Phone (941) 748-2277

Other identifiers 2

IdentifierTypeStateIssuer
P01110063OtherFLRAILROAD MEDICARE
377737500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000165 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204734122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians
Manatee Cardiology Associates LLCGroup PAC ID 9133377500, 17 clinicians

Practice addresses (Care Compare)

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

2301 60TH St CT W
Suite C
Bradenton, FL 34209-5512
Phone (941) 708-8358

316 Manatee Ave W
Bradenton, FL 34205-8805
Phone (941) 748-2277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0068183FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Memorial Hospital L P CurrentSince Aug 27, 2007 Accepting new patients
Manatee Cardiology Associates, LLC Cardiovascular Disease CurrentSince Sep 1, 2012 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Aug 27, 2007 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

316 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-2277

3649 Cortez Rd W
Bradenton, FL 34210
Phone (941) 744-9000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1685

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093791287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MANATEE AVENUE WEST",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058805",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058805",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKIND",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0068183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01110063",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377737500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.