Manatee Physician Alliance, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANATEE PHYSICIAN ALLIANCE, LLC

Practice address

206 2ND St E
Bradenton, FL 34208-1042

Phone

(941) 745-7207

NPI assigned

Aug 28, 2010

Last updated

Jun 26, 2019By 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

Todd Evans

Title

VP

Phone

(610) 768-3300

Specialties & licenses 10

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Manatee Memorial Hospital L P

  dba Manatee Diagnostic Center

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Manatee Specialty Physician Alliance, LLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1881304624

  Member Of

  NPD member

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Austen, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1154513364
  Medicare reassignment Care Compare group NPD
• Kelly A Bell, ARNP

  • Family Nurse Practitioner
  • Clermont, FL
  • NPI 1124162524
  Medicare reassignment Care Compare group NPD
• John Carter, DO

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1427799055
  Medicare reassignment Care Compare group NPD
• Kelly Duggin, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1043763865
  Medicare reassignment Care Compare group NPD
• Claire Ellen McGill, D.O.

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1760821227
  Medicare reassignment Care Compare group NPD
• Rushiv Patel, DO

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1083236038
  Medicare reassignment Care Compare group NPD
• Melissa Vilar, MD

  • Hospitalist Physician
  • Lakewood Ranch, FL
  • NPI 1063033447

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Lisa C Zapotocky, MD

  • Internal Medicine Physician
  • Dublin, OH
  • NPI 1376658500

  FL

  Medicare reassignment Care Compare group NPD
• Denise Digregorio, FNP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1861907313
  Medicare reassignment NPD
• Drew Jameson Edwards, M.D.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1487744934
  Medicare reassignment NPD
• Ronald G Grubb, D.O.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1790751485
  Medicare reassignment NPD
• Ryan Jones, MD

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1861019010
  Medicare reassignment NPD

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1588970446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081042",
            "telephone_number": "941-745-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE PHYSICIAN ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87766",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DQ9845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7971452",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002733000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0016Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manatee Pathology Associates PA
• Manatee Pathology Associates PA
• Manatee Pathology Associates, PA
• Manatee Pathology Associates, PA
• Manatee Pharmacy Services Inc. (Manatee Discount Pharmacy)
• Manatee Primary Care LLC
• Manatee Prosthetics & Orthotics (Bradenton Prosthetics & Orthotics)
• Manatee Sarasota Eye Clinic PA
• Manatee Specialty Physician Alliance, LLC
• Manatee Springs Care & Rehab

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.