Active NPI
Julia Havlovic, MD
- Family Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME146488
- Practice address
- 4430 14TH St W
Bradenton, FL 34207-1425 - Phone
- (941) 297-2123
- Fax
- (941) 297-2210
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME146488 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 4814 | AK |
Addresses
Primary practice location
4430 14TH St W
Bradenton, FL 34207-1425
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
8592 Potter Park Dr
Sarasota, FL 34238-5467
Phone (419) 216-6189
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4814 | Other | AK | OCCUPATIONAL LICENSE |
| 07957719 | Medicaid | MS | |
| 2159992 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4814 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Archwell Health Medical of Florida, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
4430 14th St W
Bradenton, FL 34207
Phone (941) 297-2123
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
1514 Jefferson Hwy
New Orleans, LA 70121
2750 Gause Blvd E
Slidell, LA 70461
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1538329628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071425",
"telephone_number": "941-297-2123",
"fax_number": "941-297-2210"
}
],
"practiceLocations": [
{
"address_1": "8592 Potter Park Dr",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342385467",
"country_code": "US",
"telephone_number": "419-216-6189",
"fax_number": "941-922-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVLOVIC",
"first_name": "JULIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME146488",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "4814",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL LICENSE",
"identifier": "4814",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07957719",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2159992",
"state": "LA"
}
],
"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 Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.