NPIMap

Individual provider Active NPI

Stephen P. Coppa, D.O.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1376540500
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9049 Issued in FL
Practice address
6110 53Rd Ave E
Bradenton, FL 34203-9707
Phone
(941) 755-4242
Fax
(941) 755-1906
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS9049 FL Primary

Addresses

Primary practice location

6110 53Rd Ave E
Bradenton, FL 34203-9707

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 371-3500

Other identifiers 2

IdentifierTypeStateIssuer
280724600MedicaidFL
82311OtherFLBCBS FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224001026 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6800782129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

6110 State Rd 70
Primecare of Manatee
Bradenton, FL 34203-9712
Phone (941) 755-4242

8220 Natures Way
Apt 201
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395

Hospital & facility affiliations

  • Empath Home Health Home health agency, Brandon, FL, CCN 683126
  • Enhabit Home Health Home health agency, Bradenton, FL, CCN 107540
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

National Provider Directory

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

Practice roles (12 of 14)

OrganizationSpecialtyStatusNew patients
HPP Physicians LLC Internal Medicine CurrentSince Jul 16, 2023 Accepting new patients
Maxhealth Now of Florida, LLC Internal Medicine CurrentSince May 19, 2015 Accepting new patients
Florida Medical Specialists LLC CurrentSince Mar 1, 2015 Accepting new patients
Florida Medical Specialists, LLC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
Healthcare America Medical Group, Inc. Internal Medicine Past Accepting new patients
Coastal Cardiovascular Consultants PLLC Past Accepting new patients
Best Value Healthcare LLC Internal Medicine Past Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
Kidney and Hypertension Medicine, P.C. PastSince Nov 11, 2009 Accepting new patients

Locations

6110 State Road 70 E
Bradenton, FL 34203
Phone (941) 745-6950

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1376540500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-371-3500",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-755-4242",
            "fax_number": "941-755-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPA",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280724600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "82311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.