Organization Active NPI

Bradenton East Integrative Medicine

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1396922183
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94066 Issued in FL
Legal business name
BRADENTON EAST INTEGRATIVE MEDICINE
Practice address
8614 East State Road 70
Ste 200
Bradenton, FL 34202-3710
Phone
(941) 727-1243
Fax
(941) 751-9039
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Karen O Brainard, M DNPI 1912938549
Title
President
Phone
(941) 807-8066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME94066 FL Primary

Addresses

Primary practice location

8614 East State Road 70
Ste 200
Bradenton, FL 34202-3710

Mailing address

8614 East State Road 70
Ste 200
Bradenton, FL 34202-3710
Phone (941) 727-1243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1396922183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 EAST STATE ROAD 70",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243",
            "fax_number": "941-751-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 EAST STATE ROAD 70",
            "address_2": "STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-727-1243",
            "fax_number": "941-751-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON EAST INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BRAINARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-807-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94066",
            "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 Apr 24, 2013; 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.