NPIMap

Individual provider Active NPI

Brendon R Connolly, MD

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1144306572
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME98137 Issued in FL
Practice address
530 5TH St E
Bradenton, FL 34208-2002
Phone
(941) 757-3521
Fax
(941) 714-0869
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME98137 FL Primary

Addresses

Primary practice location

530 5TH St E
Bradenton, FL 34208-2002

Mailing address

530 5TH St E
Bradenton, FL 34208-2002
Phone (941) 757-3521

Other identifiers 2

IdentifierTypeStateIssuer
96779OtherFLBLUE CROSS BLUE SHIELD
278117400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000218 FL Practitioner - Orthopedic Surgery 9830286004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

530 5TH St E
Bradenton, FL 34208-2002
Phone (941) 757-3521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.67 of 100Reported as individual
Quality
95.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98137FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick J Grablin MD PA Orthopaedic Surgery CurrentSince Jan 14, 2013 Accepting new patients
MCR Health, Inc. CurrentSince Mar 20, 2013 Accepting new patients
Brendon Connolly, MD PL Orthopaedic Surgery CurrentSince Jan 14, 2013 Accepting new patients
MCR Health, Inc. CurrentSince Mar 20, 2013 Accepting new patients
Sarasota Orthopedic Associates, LLC Orthopaedic Surgery PastSince Dec 21, 2011 Accepting new patients

Locations

2001 Manatee Ave E
Ste 103
Bradenton, FL 34208
Phone (941) 757-3521

530 5th St E
Bradenton, FL 34208
Phone (941) 744-9200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

4937 Clark Rd
Sarasota, FL 34233
Phone (941) 342-6404

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFFDAD/Endpoint/HFFDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFFDAD

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1144306572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 5TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342082002",
            "telephone_number": "941-757-3521",
            "fax_number": "941-714-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 5TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342082002",
            "telephone_number": "941-757-3521",
            "fax_number": "941-714-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "BRENDON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME98137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96779",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278117400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.