Kidney Disease Consultants of Bradenton PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY DISEASE CONSULTANTS OF BRADENTON PA

Practice address

508 Manatee Ave E
Bradenton, FL 34208-1146

Phone

(941) 744-0024

Fax

(941) 746-1048

NPI assigned

Aug 23, 2006

Last updated

Dec 18, 2007By 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

Mr. Thomas Newby Braxtan III, M.D.NPI 1104932771

Title

President

Phone

(941) 744-0024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Thomas Newby Braxtan III, M.D.

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1104932771
  NPD (past) Authorized official
• Yogesh Kiranraj Sanghvi

  • Nephrology Physician
  • Lakewood Ranch, FL
  • NPI 1184870891
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1609982214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-744-0024",
            "fax_number": "941-746-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081146",
            "telephone_number": "941-744-0024",
            "fax_number": "941-746-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DISEASE CONSULTANTS OF BRADENTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BRAXTAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NEWBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-744-0024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleena Ahmad Khan
• Lana Khatib
• Pooja Khator, M.D.
• Milena Khorshid, M.D.
• Hieu Khuc, PHARM.D
• Kids in Motion Therapy Services, Inc.
• Kiel Unger Therapeutic Massage Inc.
• Corrie Cross Killingsworth, APRN
• Amy Kimball, APRN
• Kimberly J. Fabre, DDS, PA

• Nephrology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.