Individual provider Active NPI

Gerald P Marshbanks, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1225129646
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719
Phone
(941) 388-8997
Fax
(941) 306-5876
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109170 FL
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719

Mailing address

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719
Phone (941) 388-8997

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103002650 FL Practitioner - Physician Assistant 9335516327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Centers, P. C. CurrentSince Jan 27, 2026 Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 200
Lakewood Ranch, FL 34202
Phone (941) 202-3888

6305 Initiative Blvd
Sarasota, FL 34240
Phone (941) 200-6020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26589/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1225129646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997",
            "fax_number": "941-306-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997",
            "fax_number": "941-306-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBANKS",
        "first_name": "GERALD",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109170",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.