Nicole G. Bentze, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9161 Issued in FL

Practice address

11505 Rangeland Pkwy
Bradenton, FL 34211-9504

Phone

(941) 907-6016

Fax

(941) 907-0199

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Manatee Memorial Hospital L P

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687

  FL

  Medicare reassignment NPD
• Manatee Memorial Hospital L P

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Family Medicine Specialists, PLLC

  • Family Medicine Physician
  • University Park, FL
  • NPI 1376508739

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1104810332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119504",
            "telephone_number": "941-907-6016",
            "fax_number": "941-907-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119504",
            "telephone_number": "941-907-6016",
            "fax_number": "941-907-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZE",
        "first_name": "NICOLE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48238",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270744600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bensa Chiropractic and Wellness
• Brittney Benson, ARNP
• Lynn Benson, BA
• Robert F Benson, M.D.
• Michael James Bentze, DO
• Kendall Bera, OT
• Beatrice Jennifer Berkes, MD
• Richard N Berkun, DPM
• Elicet Bermudez-Cabrera, ARNP
• Jennifer Jane Bermudez, MD

• All providers in Bradenton, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.