Active NPI
Bradley F. Peckler
- Emergency Medicine Physician
- St Petersburg, FL
National Provider Identifier
1194771949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME90958
- Practice address
- 6000 49TH St N
St Petersburg, FL 33709-2114 - Phone
- (727) 521-5044
- NPI assigned
- May 25, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME90958 | FL | Primary |
Addresses
Primary practice location
6000 49TH St N
St Petersburg, FL 33709-2114
Mailing address
1847 Bayou Grande Blvd NE
St Petersburg, FL 33703-1909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90958 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine City Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Russell Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Brodrick ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Beth Israel Medical Center | Emergency Medicine | Past | Accepting new patients |
| Palms of Pasadena Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| St. Vincent'S Midtown Hospital | Past | Accepting new patients | |
| Best Care Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Cobblestone Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| KHH Emergency Medicine | Emergency Medicine | Past | Accepting new patients |
| Beth Israel Medical Center | Past | Accepting new patients |
Organizations & group practices 11
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
- Kissimmee, FL
- NPI 1962675736
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1467400796
-
- Emergency Medicine Physician
- St Augustine, FL
- NPI 1134264641
-
- Emergency Medicine Physician
- Largo, FL
- NPI 1831149848
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
-
- Emergency Medicine Physician
- Largo, FL
- NPI 1245289180
-
- Emergency Medicine Physician
- St. Petersburg, FL
- NPI 1770533143
-
- Emergency Medicine Physician
- New York, NY
- NPI 1740378421
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1740330455
-
- General Acute Care Hospital
- New York, NY
- NPI 1124136403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194771949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 BAYOU GRANDE BLVD NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337031909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092114",
"telephone_number": "727-521-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECKLER",
"first_name": "BRADLEY",
"middle_name": "F.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME90958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Pearle Capstone Eye Associates PLLC
- Christine Pearson
- Karah Shaniece Pearson, MSN, APRN, ACNPC-AG
- Pearson'S Family Care LLC
- Noel A Peceu
- Morgan Pecknold, DNP CRNA
- Ivona Pecovska, MS, CF-SLP
- Callie Pederson, D.O.
- Pediatric Emergency Physicians of St. Petersburg, PA
- Pediatric Feeding and Swallowing Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.