Chad Bates, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Trinity, FL
NPI 1669273884 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1669273884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9330 State Road 54
Trinity, FL 34655-1808 - Phone
- (727) 834-4831
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250717002483 | FL | Order and Referring Only - Physical Medicine and Rehabilitation |
8628583614 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9330 State Road 54
Trinity, FL 34655-1808
Mailing address
9330 State Road 54
Trinity, FL 34655-1808
Phone (727) 834-4831
Other providers in Trinity, FL
- Barnes and Barnes MD
- Courtney Barnes-Harrington
- Tristine E Barry
- Victoria Basile
- Natalie Eudora Bastien
- Fernando Batista Morales
- Bay Area Anesthesia LLC
- Bay Area Gastroenterology Associates LLC
- Bay Area Primary Care
- Baycare Behavioral Health Inc.
All providers in Trinity, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.