Individual provider Active NPI

Osmani Rodriguez Gomez

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1669246344
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10231201 Issued in FL
Practice address
2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620
Phone
(941) 803-8395
NPI assigned
Nov 13, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11029622 FL
Nurse Practitioner 363L00000X F10231201 FL
Family Nurse Practitioner 363LF0000X F10231201 FL Primary

Addresses

Primary practice location

2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620

Mailing address

2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620

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
I20231229002959 FL Practitioner - Pain Management 5496105686 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029622FLMDNurse Practitioner
F10231201FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Salud Medical Center Inc CurrentSince Jul 22, 2024 Accepting new patients
Vigafra PLLC CurrentSince Dec 4, 2023 Accepting new patients
Sarasota Medical Examinations LLC CurrentSince Feb 6, 2026 Accepting new patients

Locations

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

2001 Manatee Ave E
Ste 103
Bradenton, FL 34208
Phone (941) 803-8395

4812 26th St W
Bradenton, FL 34207
Phone (813) 727-3937

3056 University Pkwy
Sarasota, FL 34243
Phone (941) 242-0934

909 Cattlemen Rd
Sarasota, FL 34232
Phone (941) 231-0371

115 W Bay St
Wauchula, FL 33873
Phone (863) 773-3785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1669246344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-803-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GOMEZ",
        "first_name": "OSMANI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029622",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F10231201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10231201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.