Individual provider Active NPI

Julia Havlovic, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1538329628
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME146488 Issued in FL
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

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4814OtherAKOCCUPATIONAL LICENSE
07957719MedicaidMS
2159992MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110908001653 LA Practitioner - Family Practice 2961672662 Reassigns benefits to 1 organization
I20201208000383 FL Practitioner - Family Practice 2961672662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4814AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 1, 2011 Accepting new patients
Archwell Health Medical of Florida, LLC CurrentSince Sep 29, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 1, 2011 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.

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

Verify at the official NPI Registry.