Active NPI
Willie Frazier
- Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1659720241
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 18, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9356813
- Practice address
- 1312 Manatee Ave E
Bradenton, FL 34208-1358 - Phone
- (941) 708-8700
- Fax
- (941) 708-8706
- NPI assigned
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9356813 | FL | Primary |
Addresses
Primary practice location
1312 Manatee Ave E
Bradenton, FL 34208-1358
Mailing address
1936 Bruce B Downs Blvd
Suite 75
Wesley Chapel, FL 33544-9262
Phone (813) 997-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9356813 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1659720241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 BRUCE B DOWNS BLVD",
"address_2": "SUITE 75",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449262",
"telephone_number": "813-997-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081358",
"telephone_number": "941-708-8700",
"fax_number": "941-708-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "WILLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9356813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.