NPIMap

Individual provider Active NPI

Scott K Clulow, DO

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1174518310
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8696 Issued in FL
Practice address
5601 21St Ave W
#D
Bradenton, FL 34209-5642
Phone
(941) 313-7142
Fax
(941) 794-2805
NPI assigned
Sep 14, 2005
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 OS8696 FL Primary

Addresses

Primary practice location

5601 21St Ave W
#D
Bradenton, FL 34209-5642

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Other identifiers 3

IdentifierTypeStateIssuer
080185717OtherFLRAIL ROAD MEDICARE
62157OtherFLBCBS
264317100MedicaidFL

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
I20040320000123 FL Practitioner - Family Practice 7113818246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

7431 Manatee Ave W
Maxhealth Physical Therapy
Bradenton, FL 34209-3444
Phone (941) 315-6182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8696FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC CurrentSince Mar 26, 2013 Accepting new patients
HPP Physicians LLC CurrentSince Jul 16, 2023 Accepting new patients
Maxhealth Now of Florida, LLC CurrentSince May 19, 2015 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Florida Medical Specialists LLC CurrentSince Mar 26, 2013 Accepting new patients
Florida Medical Specialists LLC Family Medicine Past Accepting new patients
Pinnacle Medical Group PA Family Medicine Past Accepting new patients
Pinnacle Physician Network, LLC Family Medicine Past Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

5601 21st Ave W
Ste D
Bradenton, FL 34209
Phone (941) 313-7142

7431 Manatee Ave W
Bradenton, FL 34209
Phone (941) 313-7142

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1174518310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "#D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-313-7142",
            "fax_number": "941-794-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLULOW",
        "first_name": "SCOTT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080185717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62157",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264317100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.