Individual provider Active NPI

Sharla Sundberg, MD

  • Surgery Physician
  • Bradenton, FL
National Provider Identifier
1447446430
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME120677 Issued in FL
Practice address
315 75TH St W
Bradenton, FL 34209-3201
Phone
(941) 761-1998
Fax
(877) 501-8537
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME120677 FL Primary

Addresses

Primary practice location

315 75TH St W
Bradenton, FL 34209-3201

Mailing address

315 75TH St W
Bradenton, FL 34209-3201
Phone (941) 761-1998

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHARLA.SUNDBERG@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120677FLMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: sharla.sundberg@hca4.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1447446430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "877-501-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "877-501-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "SHARLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME120677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHARLA.SUNDBERG@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "315 75th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342093201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 9, 2022; 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.