Bradenton Medical Enterprises, Inc.

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

BRADENTON MEDICAL ENTERPRISES, INC.

Doing business as

Physicians Dialysis

Practice address

4802 Grand Blvd
New Port Richey, FL 34652-5106

Phone

(727) 815-8385

Fax

(727) 848-7943

NPI assigned

Jul 19, 2006

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arturo Fernandez

Title

Vice President

Phone

(305) 651-3261

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Physicians Dialysis Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1538188792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19559 NE 10TH AVE",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793501",
            "telephone_number": "305-651-3261",
            "fax_number": "305-651-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525106",
            "telephone_number": "727-815-8385",
            "fax_number": "727-848-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON MEDICAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-651-3261"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209756701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FLORIDA",
            "identifier": "R8226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neal Botolfson
• Leila Bove, C-SLPA
• Henry M Bowers Jr., MD
• Katie Bowman, PSY.D.
• William M. Boyles, O.D.
• Jodi Bradley, PTA
• Amy A Bradshaw Hoppock, PHD, LMHC, CAP
• Brain and Spine Neuroscience Institute, LLC (Cardiovascular and Thoracic Surgery, PLLC)
• Brain and Spine Neuroscience Institute, LLC (Minimally Invasive Surgical Specialists)
• Karyn Bramanti-McGuire, LCSW

• Durable Medical Equipment & Medical Supplies in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.