Organization Active NPI

Eldridge E McCormick MD PA

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1376893560
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ELDRIDGE E MCCORMICK MD PA
Practice address
2109 60TH St W
Bradenton, FL 34209-5526
Phone
(941) 792-9125
Fax
(941) 798-9184
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Eldridge E McCormick, MD
Title
Owner
Phone
(941) 792-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2109 60TH St W
Bradenton, FL 34209-5526

Mailing address

2109 60TH St W
Bradenton, FL 34209-5526
Phone (941) 798-9184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1376893560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 60TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095526",
            "telephone_number": "941-798-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 60TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095526",
            "telephone_number": "941-792-9125",
            "fax_number": "941-798-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDRIDGE E MCCORMICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ELDRIDGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-792-9125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Sep 14, 2012; 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.