Tampa Bay Nephrology Associates P L

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

TAMPA BAY NEPHROLOGY ASSOCIATES P L

Practice address

4912 N Armenia Ave
Tampa, FL 33603-1402

Phone

(813) 353-8775

Fax

(813) 353-3956

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Polly A. Bittle, APRNNPI 1134526262

Title

Authorized Manager

Phone

(813) 353-8775

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Polly A. Bittle, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1134526262
  Medicare reassignment NPD Authorized official
• Timothy W Rogers, M.D.

  • Nephrology Physician
  • The Villages, FL
  • NPI 1073511952
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1306957899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-353-8775",
            "fax_number": "813-353-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-353-8775",
            "fax_number": "813-353-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY NEPHROLOGY ASSOCIATES P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "BITTLE",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUTHORIZED MANAGER",
        "authorized_official_telephone_number": "813-353-8775",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256336300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.