Active NPI
John Jeffrey Deal, PA
- Physician Assistant
- Bradenton, FL
National Provider Identifier
1114978657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103719
- Practice address
- 206 2ND Street E
Emergency Department
Bradenton, FL 34208 - Phone
- (941) 745-7564
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103719 | FL | Primary |
Addresses
Primary practice location
206 2ND Street E
Emergency Department
Bradenton, FL 34208
Mailing address
403 Mill Run E
Bradenton, FL 34212-9193
Phone (941) 724-0415
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103719 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primehealth Urgent Care LLC | Current | Accepting new patients | |
| Primehealth Urgent Care LLC | Current | Accepting new patients | |
| Observation Medical Group LLC | Current | Accepting new patients | |
| Oakfield Drive Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
Locations
3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326
8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Urgent Care Clinic/Center
- Parrish, FL
- NPI 1023651825
-
- Urgent Care Clinic/Center
- Port Charlotte, FL
- NPI 1487422267
-
- Urgent Care Clinic/Center
- Bradenton, FL
- NPI 1821843335
-
- Emergency Medicine Physician
- Brandon, FL
- NPI 1457670879
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1114978657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 MILL RUN E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342129193",
"telephone_number": "941-724-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 2ND STREET E",
"address_2": "EMERGENCY DEPARTMENT",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34208",
"telephone_number": "941-745-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "JOHN",
"middle_name": "JEFFREY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103719",
"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 Oct 29, 2012; 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.