Individual provider Active NPI

Daniel Edward Friedman, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Bradenton, FL
National Provider Identifier
1366633042
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME105526 Issued in FL
Practice address
316 Manatee Ave W
Bradenton, FL 34205-8805
Phone
(941) 748-2277
Fax
(941) 748-1958
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME105526 FL Primary
Cardiovascular Disease Physician 207RC0000X ME105526 FL

Addresses

Primary practice location

316 Manatee Ave W
Bradenton, FL 34205-8805

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (941) 748-2277

Other practice location 1

4145B Sun N Lake Blvd
Suite B
Sebring, FL 33872-2171
Phone (941) 748-2277

Other identifiers 3

IdentifierTypeStateIssuer
146P4OtherBCBS
P01110054OtherFLRAILROAD MEDICARE
001547100MedicaidFL

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
I20100226000280 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9537237540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians
Manatee Cardiology Associates LLCGroup PAC ID 9133377500, 17 clinicians

Practice addresses (Care Compare)

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

316 Manatee Ave W
Bradenton, FL 34205-8805
Phone (941) 748-2277

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105526FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Cardiology Associates, LLC Cardiovascular Disease CurrentSince Sep 1, 2012 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Dec 29, 2012 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Dec 29, 2012 Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

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

316 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-2277

8340 Lakewood Ranch Blvd
Ste 210
Lakewood Ranch, FL 34202
Phone (941) 556-8930

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

4145 Sun N Lake Blvd
#B
Sebring, FL 33872
Phone (863) 402-5589

4145 Sun N Lake Blvd
Ste B
Sebring, FL 33872
Phone (863) 402-3780

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1685

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1366633042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-748-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058805",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4145B Sun N Lake Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722171",
            "country_code": "US",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME105526",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME105526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "146P4",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01110054",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001547100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.