Individual provider Active NPI

Vincenzo Perrone, MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1639233125
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071239 Issued in FL
Practice address
1884 59TH St W
Bradenton, FL 34209-4630
Phone
(941) 795-0011
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0071239 FL Primary

Addresses

Primary practice location

1884 59TH St W
Bradenton, FL 34209-4630

Mailing address

1884 59TH St W
Bradenton, FL 34209-4630
Phone (941) 795-0011

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
I20081126000362 FL Practitioner - Internal Medicine 9335209949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

1884 59TH St W
Bradenton, FL 34209-4630
Phone (941) 795-0011

8429 Tuttle Ave
234 236
Sarasota, FL 34243-2868
Phone (941) 413-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071239FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincenzo Perrone MD PA Internal Medicine CurrentSince Aug 15, 2008 Accepting new patients
Bradenton Surgical Associates, P.a. PastSince Aug 15, 2008 Accepting new patients
Personal Wellness Medicine, LLC PastSince Feb 7, 2021 Accepting new patients

Locations

501 Village Green Pkwy
Ste 5
Bradenton, FL 34209

1884 59th St W
Bradenton, FL 34209
Phone (941) 748-1471

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1639233125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-795-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-795-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "VINCENZO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.