Bradenton Enterprise LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15320961 Issued in FL

Legal business name

BRADENTON ENTERPRISE LLC

Practice address

2010 Manatee Ave E
Bradenton, FL 34208-1560

Phone

(941) 747-3706

Fax

(941) 746-7785

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Randy Kruger

Title

Business Office Manager

Phone

(941) 747-3706

Specialties & licenses 1

Addresses

Other names 1

• BRADEN RIVER CARE CENTER Doing business as

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245225960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081560",
            "telephone_number": "941-747-3706",
            "fax_number": "941-746-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081560",
            "telephone_number": "941-747-3706",
            "fax_number": "941-746-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "941-747-3706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15320961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADEN RIVER CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradenton Dialysis Center LLC
• Bradenton East Integrative Medicine
• Bradenton East Integrative Medicine
• Bradenton East Medical PA
• Bradenton Endocrinology, PA
• Bradenton Eye Clinic Inc
• Bradenton Gastroenterology PA
• Bradenton Geriatrics LLC
• Bradenton Health Care Associates LLC
• Bradenton Healthcare Investors LLC

• Skilled Nursing Facility in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.