Active NPI
Kent D Bown, PA
- Surgical Physician Assistant
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Jun 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101655 | FL | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2020 59TH St W
Bradenton, FL 34209-4604
Mailing address
2010 59TH St W Ste 5800
Bradenton, FL 34209-4668
Phone (941) 752-2837
Other practice location 1
300 Riverside Dr E Ste 2010
Bradenton, FL 34208-1023
Phone (941) 405-1170
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000730 | FL | Practitioner - Physician Assistant | 9133028285 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101655 | FL | MD | Physician Assistant |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedics & Sports Medicine of Southwest Florida PA | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Past | Accepting new patients |
Locations
6202 17th Ave W
Bradenton, FL 34209
8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
430 Morton Plant St
Ste 301
Clearwater, FL 33756
8340 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (914) 748-1818
8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bradenton, FL
- NPI 1285740720
FL
-
- Specialist
- Bradenton, FL
- NPI 1811134794
-
- Specialist
- Lakewood Ranch, FL
- NPI 1568609444
-
- Orthopaedic Surgery Physician
- Zephyrhills, FL
- NPI 1467305839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Orthopedics and Sports Medicine of Southwest Florida PA
Practice addresses (Care Compare)
8000 Sr 64
Bradenton, FL 34212
Phone (941) 792-1404
Hospital & facility affiliations
- HCA Florida Blake Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1346277258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 59TH ST W STE 5800",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094668",
"telephone_number": "941-752-2837",
"fax_number": "877-501-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [
{
"address_1": "300 Riverside Dr E Ste 2010",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081023",
"country_code": "US",
"telephone_number": "941-405-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWN",
"first_name": "KENT",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101655",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.