Individual provider Active NPI

Bartholomew Vereb, M.D.

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1114987799
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME30898 Issued in FL
Practice address
5015 Manatee Ave W
Bradenton, FL 34209-3857
Phone
(941) 792-5578
Fax
(941) 798-3603
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME30898 FL Primary

Addresses

Primary practice location

5015 Manatee Ave W
Bradenton, FL 34209-3857

Mailing address

5015 Manatee Ave W
Bradenton, FL 34209-3857
Phone (941) 792-5578

Other identifiers 1

IdentifierTypeStateIssuer
271852900MedicaidFL

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
I20190301001905 FL Order and Referring Only - Family PracticePractitioner - Family Practice 7315087517

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arleta Anna Kitlas, M. D., PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1114987799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-792-5578",
            "fax_number": "941-798-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-792-5578",
            "fax_number": "941-798-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEREB",
        "first_name": "BARTHOLOMEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME30898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271852900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.