Individual provider Active NPI

Coleman Sims Pratt II, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1437375748
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P630117713400 Issued in FL
Practice address
5861 Cortez Rd W
Bradenton, FL 34210-2704
Phone
(941) 725-5969
NPI assigned
Apr 17, 2007
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P630117713400 FL Primary

Addresses

Primary practice location

5861 Cortez Rd W
Bradenton, FL 34210-2704

Mailing address

5861 Cortez Rd W
Bradenton, FL 34210-2704
Phone (941) 251-4612

Other identifiers 1

IdentifierTypeStateIssuer
ME94916OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070712000086 LA Practitioner - Family Practice 0547360166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Community Health CentersGroup PAC ID 3678755535, shared by 35 NPIs, 70 clinicians

Practice addresses (Care Compare)

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

5630 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 248-5357

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P630117713400FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Aug 9, 2024 Accepting new patients
Marillac Community Health Centers CurrentSince Aug 9, 2024 Accepting new patients
Marillac Community Health Centers PastSince Oct 4, 2020 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Ascension Depaul Services Past Accepting new patients
Marillac Community Health Centers PastSince Sep 1, 2020 Accepting new patients
Marillac Community Health Centers PastSince Nov 1, 2023 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers PastSince Dec 6, 2022 Accepting new patients
Marillac Community Health Centers Family Medicine Past Accepting new patients

Locations (25 of 29)

1629 Westbank Expy
Harvey, LA 70058
Phone (504) 367-8777

1629 Westbank Expy
Ste A
Harvey, LA 70058
Phone (504) 367-8777

1908 Short St
Kenner, LA 70062

3715 Williams Blvd
Ste 220
Kenner, LA 70065
Phone (504) 468-4437

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

3116 6th St
Ste 101
Metairie, LA 70002
Phone (504) 837-9000

6421 W Metairie Ave
Metairie, LA 70003
Phone (504) 513-4400

100 Warrington Dr
New Orleans, LA 70122
Phone (504) 861-5475

1025 Napoleon Ave
New Orleans, LA 70115
Phone (504) 891-1927

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

1200 L B Landry Ave
New Orleans, LA 70114
Phone (504) 302-7170

1423 Saint Philip St
New Orleans, LA 70116
Phone (504) 258-9409

1501 Abundance St
New Orleans, LA 70119

1651 N Tonti St
New Orleans, LA 70119
Phone (504) 258-9409

2801 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 362-8930

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

3215 General Meyer Ave
New Orleans, LA 70114
Phone (504) 362-8930

3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873

3617 General Pershing St
New Orleans, LA 70125
Phone (504) 373-4336

4000 Cadillac St
New Orleans, LA 70122
Phone (504) 324-7600

4400 General Meyer Ave
New Orleans, LA 70131
Phone (503) 302-7135

4720 Painters St
New Orleans, LA 70122
Phone (504) 280-2309

5300 Berkley Dr
New Orleans, LA 70131
Phone (504) 302-7121

5630 Read Blvd
New Orleans, LA 70127
Phone (504) 244-5174

5630 Read Blvd
Ste B
New Orleans, LA 70127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1437375748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102704",
            "telephone_number": "941-251-4612",
            "fax_number": "941-251-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102704",
            "telephone_number": "941-725-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "COLEMAN",
        "middle_name": "SIMS",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "P630117713400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME94916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.