Active NPI
Family Care Inc
- Primary Care Clinic/Center
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME0071369
- Legal business name
- FAMILY CARE INC
- Practice address
- 6078 14TH St W
Bradenton, FL 34207-4104 - Phone
- (941) 752-1400
- Fax
- (941) 752-0192
- NPI assigned
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Asad Moiz Ali, M.D.
- Title
- Medical Doctor/Owner
- Phone
- (941) 752-1400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME0071369 | FL | Primary |
Addresses
Primary practice location
6078 14TH St W
Bradenton, FL 34207-4104
Mailing address
6078 14TH St W
Bradenton, FL 34207
Phone (941) 752-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250563100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0939633 | Family Care Inc | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1790715233
-
- Legal Medicine
- Bradenton, FL
- NPI 1568418416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356048000000",
"number": "1487913133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6078 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34207",
"telephone_number": "941-752-1400",
"fax_number": "941-752-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6078 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074104",
"telephone_number": "941-752-1400",
"fax_number": "941-752-0192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-12-21",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "ASAD",
"authorized_official_middle_name": "MOIZ",
"authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
"authorized_official_telephone_number": "941-752-1400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME0071369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250563100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Joshua A Falk, OD
- Megan Fallon, ARNP
- Family Acupuncture and Oriental Medicine
- Family Affair Home Health Care LLC
- Family and Functional Gold Care Center Inc.
- Family Counseling Center, Inc.
- Family Dental Care of South Bradenton
- Family Dental Inc
- Family Doctors of Bradenton Inc
- Family Home Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.