Active NPI
Ishmael Soghrati, DO
- Internal Medicine Physician
- Bradenton, FL
National Provider Identifier
1306280375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- UO3160
- Practice address
- 206 2ND St E
Bradenton, FL 34208-1042 - Phone
- (941) 746-5111
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | UO3160 | FL | Primary |
Addresses
Primary practice location
206 2ND St E
Bradenton, FL 34208-1042
Mailing address
2511 NE Pine Ave
Jensen Beach, FL 34957-5231
Phone (913) 568-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3160 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1306280375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 NE PINE AVE",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349575231",
"telephone_number": "913-568-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 2ND ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081042",
"telephone_number": "941-746-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOGHRATI",
"first_name": "ISHMAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO3160",
"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 May 31, 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.