Cortez Knee and Sports Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORTEZ KNEE AND SPORTS MEDICINE, LLC

Practice address

6203 Cortez Rd W
Bradenton, FL 34210-2602

Phone

(941) 782-0490

Fax

(941) 792-0496

NPI assigned

Mar 10, 2015

Last updated

Apr 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan D Bowes

Title

Cfo

Phone

(941) 792-0506

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1346633708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102602",
            "telephone_number": "941-792-0506",
            "fax_number": "941-792-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102602",
            "telephone_number": "941-782-0490",
            "fax_number": "941-792-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ KNEE AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BOWES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-792-0506"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC LICENSE",
            "identifier": "HCC10324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortez Foot & Ankle Specialists, P.a.
• Cortez Foot & Ankle Specialists, PA
• Cortez Foot Surgery Center, P.a.
• Cortez House Inc (Cortez House Assisted Living Facility)
• Cortez Injury Care LLC
• Cortez Vision Center LLC
• Cortez Wellness Center
• Martina Ann Cortopassi, DPT
• Monica B Corzo Pedrosa, M.D.
• Rebecca Lynn Cosgrove, RD, LD, CDE

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.