Individual provider Active NPI

Michelle L. Bryan, ARNP

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1346294261
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 3407102 Issued in FL
Practice address
4319 20TH St W
Suite 101
Bradenton, FL 34205-5000
Phone
(941) 753-7585
Fax
(941) 758-2153
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000713 FL Practitioner - Nurse Practitioner 5193740223 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3407102FLMDNurse Practitioner

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Em Alliance LLC CurrentSince Oct 10, 2023 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jan 16, 2008 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients

Locations

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

7 Easton Oval
#L4387
Columbus, OH 43219

Networks

  • Freedom Health HMO Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 3407102 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4319 20TH St W
Suite 101
Bradenton, FL 34205-5000

Mailing address

PO Box 637801
Cincinnati, OH 45263-7801
Phone (941) 753-7585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2014.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1346294261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637801",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637801",
            "telephone_number": "941-753-7585",
            "fax_number": "941-758-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 20TH ST W",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055000",
            "telephone_number": "941-753-7585",
            "fax_number": "941-758-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 3407102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.