Integrative Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME62136 Issued in FL

Legal business name

INTEGRATIVE MEDICAL GROUP

Practice address

6040 53Rd Ave E
Suite D
Bradenton, FL 34203-9720

Phone

(941) 739-2225

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Charlene Thorpe

Title

Administrative Director

Phone

(941) 739-2225

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10052/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Wayne Blend, MD

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1326055435
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1306029301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 53RD AVE E",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 53RD AVE E",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039720",
            "telephone_number": "941-739-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "941-739-2225"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Physical Medicine, LLC
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• Integrative Path Therapies
• Intensive Care Associates LLC
• Intercoastal Medical Group Inc
• International Center for Advanced Spine and Orthopedic Surgery LLC
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• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.