Individual provider Active NPI

Mary J King, DO

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1255338083
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0007369 Issued in FL
Practice address
6832 14TH St W Unit 3
Bradenton, FL 34207-5866
Phone
(941) 297-2022
Fax
(941) 297-2209
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS0007369 FL Primary

Addresses

Primary practice location

6832 14TH St W Unit 3
Bradenton, FL 34207-5866

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

10225 Ulmerton Rd Ste 1A
Largo, FL 33771-3522
Phone (727) 585-7408

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.king@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000495 FL Practitioner - Internal Medicine 4789768508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

10225 Ulmerton Rd
Suite 1a
Largo, FL 33771-3522
Phone (727) 585-7408

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Independant Ipa,LLC Past Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Archwell Health Medical of Florida, LLC Internal Medicine PastSince Aug 3, 2023 Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

10225 Ulmerton Rd
Ste 1A
Largo, FL 33771
Phone (727) 585-7408

2780 E Bay Dr
Largo, FL 33771
Phone (727) 535-3489

6703 38th Ave N
St Petersburg, FL 33710
Phone (727) 213-5377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • Direct secure messaging: mary.king@mcmgfl.eclinicaldirectplus.com

Organizations & group practices 5

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.

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255338083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 14TH ST W UNIT 3",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075866",
            "telephone_number": "941-297-2022",
            "fax_number": "941-297-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10225 Ulmerton Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337713522",
            "country_code": "US",
            "telephone_number": "727-585-7408",
            "fax_number": "866-980-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.king@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10225 Ulmerton Rd Ste 1A",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337713522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.