Bradenton Internal Medicine PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME41570 Issued in FL

Legal business name

BRADENTON INTERNAL MEDICINE PA

Practice address

701 Manatee Ave W
Suite 101
Bradenton, FL 34205-8604

Phone

(941) 748-3065

Fax

(941) 748-8485

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rochelle Ann Romines

Title

Office Manager

Phone

(941) 748-3065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1124188685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-3065",
            "fax_number": "941-748-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-3065",
            "fax_number": "941-748-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "ROMINES",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-748-3065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME41570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradenton Geriatrics LLC
• Bradenton Health Care Associates LLC
• Bradenton Healthcare Investors LLC
• Bradenton Heart Center P a
• Bradenton Homecare Services LLC
• Bradenton Missionary Village, Inc
• Bradenton Neurology Inc
• Bradenton Oaks, LLC
• Bradenton Orthodontics PLLC
• Bradenton Pathology PA

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.