Individual provider Active NPI

Maura E Gonzalez, M.D.

  • Hospitalist Physician
  • Bradenton, FL
National Provider Identifier
1235560939
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME124215 Issued in FL
Practice address
206 2ND St E
Bradenton, FL 34208
Phone
(941) 746-5111
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME124215 FL
Hospitalist Physician 208M00000X ME124215 FL Primary

Addresses

Primary practice location

206 2ND St E
Bradenton, FL 34208

Mailing address

1821 Woodbine St Apt 1L
Ridgewood, NY 11385-3702
Phone (786) 419-8010

Other practice location 1

1000 Medical Center Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8224

Other practice location 2

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2738
Phone (843) 784-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150722004923 FL Practitioner - HospitalistPractitioner - Internal Medicine 3971816729 Reassigns benefits to 3 organizations
I20160921001801 SC Practitioner - Internal Medicine 3971816729 Reassigns benefits to 1 organization
I20180417000159 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 3971816729 Reassigns benefits to 3 organizations
I20180924003360 AL Practitioner - Internal Medicine 3971816729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muscogee Hospitalist Services, LLCGroup PAC ID 8921368564, 35 clinicians

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124215FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC CurrentSince Jun 1, 2018 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Feb 12, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Sep 15, 2017 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Feb 3, 2018 Accepting new patients
Rockledge Physician Services, LLC Hospitalist CurrentSince Jun 15, 2016 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist Current Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Feb 12, 2018 Accepting new patients
South Carolina Group Services, LLC Hospitalist CurrentSince Jun 27, 2016 Accepting new patients
MCR Health, Inc. CurrentSince Sep 15, 2017 Accepting new patients
Comprehensive Hospitalists of Florida, LLC Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Mar 1, 2018 Accepting new patients
The Medical Center Inc Past Accepting new patients
Floridian Emergency Specialists, LLC PastSince Jan 26, 2020 Accepting new patients

Locations

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

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

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1235560939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WOODBINE ST APT 1L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853702",
            "telephone_number": "786-419-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-746-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299273446",
            "country_code": "US",
            "telephone_number": "843-784-8224",
            "fax_number": "843-784-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262738",
            "country_code": "US",
            "telephone_number": "843-784-8224",
            "fax_number": "843-784-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MAURA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124215",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME124215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.