Individual provider Active NPI

Roberto Luis Rolon, DO

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1316386535
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3720 Issued in FL
Practice address
206 2ND St E
Bradenton, FL 34208-1042
Phone
(941) 708-8100
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 3720 FL Primary

Addresses

Primary practice location

206 2ND St E
Bradenton, FL 34208-1042

Mailing address

210 3Rd St W
Apt 5101
Bradenton, FL 34205-8809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002597 FL Practitioner - Family Practice 5698075877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6364
Phone (904) 903-5520

5402 Beaumont Ctr Blvd
Suite 105
Tampa, FL 33634-5202
Phone (813) 248-8149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3720FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Aug 7, 2023 Accepting new patients
American Current Care P.a. CurrentSince Aug 7, 2023 Accepting new patients
Synergic Healthcare Solutions LLC General Practice Current Accepting new patients
The General Hospital Corporation General Practice Current Accepting new patients
Synergic Healthcare Solutions LLC General Practice CurrentSince Feb 6, 2018 Accepting new patients
American Current Care PA Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC General Practice Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Feb 6, 2018 Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

55 Fruit St
Boston, MA 02114

200 N Bryant Ave
Ste 10
Edmond, OK 73034

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: rrolon159292@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1316386535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 3RD ST W",
            "address_2": "APT 5101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058809"
        },
        {
            "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": "941-708-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "ROBERTO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.