The Vascular Group of Bradenton, P.L.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

THE VASCULAR GROUP OF BRADENTON, P.L.

Practice address

4502 Cortez Rd W
2ND Floor
Bradenton, FL 34210-3143

Phone

(813) 286-0033

Fax

(813) 489-2537

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Woodrow W Yeaney III, M.D.NPI 1740217116

Title

Owner

Phone

(813) 286-0033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHEEBD

Practitioners 1

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

• Woodrow W Yeaney III, M.D.

  • Vascular Surgery Physician
  • Bradenton, FL
  • NPI 1740217116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1306104336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-489-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W",
            "address_2": "2ND FLOOR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103143",
            "telephone_number": "813-286-0033",
            "fax_number": "813-489-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VASCULAR GROUP OF BRADENTON, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "YEANEY",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-286-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.