Individual provider Active NPI

Brian Zeidan, MD

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1568050763
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022124 Issued in PR
Practice address
4401 Cortez Rd W
Bradenton, FL 34210-3142
Phone
(941) 357-5550
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022124 PR Primary

Addresses

Primary practice location

4401 Cortez Rd W
Bradenton, FL 34210-3142

Mailing address

4401 Cortez Rd W
Bradenton, FL 34210-3142
Phone (941) 357-5550

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211206002887 FL Practitioner - General Practice 9638569627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

4401 Cortez Rd W
Bradenton, FL 34210-3142
Phone (941) 357-5550

Hospital & facility affiliations

  • Florida Home Health Home health agency, Bradenton, FL, CCN 108049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022124PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists CurrentSince Sep 13, 2021 Accepting new patients
Florida Medical Specialists LLC CurrentSince Sep 13, 2021 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Best Value Healthcare LLC Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients

Locations

4401 Cortez Rd W
Bradenton, FL 34210
Phone (941) 357-5550

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1568050763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103142",
            "telephone_number": "941-357-5550",
            "fax_number": "941-792-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103142",
            "telephone_number": "941-357-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.