Organization Active NPI

Bradenton East Integrative Medicine

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1255631149
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRADENTON EAST INTEGRATIVE MEDICINE
Practice address
8614 E State Road 70
Suite 200
Bradenton, FL 34202-3710
Phone
(941) 727-1243
Fax
(941) 751-9039
NPI assigned
Oct 26, 2010
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Karen Brainard, MDNPI 1912938549
Title
Owner
Phone
(941) 727-1243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8614 E State Road 70
Suite 200
Bradenton, FL 34202-3710

Mailing address

8614 E State Road 70
Suite 200
Bradenton, FL 34202-3710
Phone (941) 727-1243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1255631149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 E STATE ROAD 70",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243",
            "fax_number": "941-751-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 E STATE ROAD 70",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243",
            "fax_number": "941-751-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON EAST INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BRAINARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-727-1243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.