Organization Active NPI

Peter L. Fort, MD PA

  • Pulmonary Disease Physician
  • Bradenton, FL
National Provider Identifier
1669437091
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PETER L. FORT, MD PA
Practice address
5955 17TH Ave W
Bradenton, FL 34209-7836
Phone
(941) 794-3900
Fax
(941) 794-8810
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Peter L. Fort, M.D.NPI 1932191319
Title
Owner
Phone
(941) 794-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

5955 17TH Ave W
Bradenton, FL 34209-7836

Mailing address

5955 17TH Ave W
Bradenton, FL 34209-7836
Phone (941) 794-3900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1669437091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097836",
            "telephone_number": "941-794-3900",
            "fax_number": "941-794-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097836",
            "telephone_number": "941-794-3900",
            "fax_number": "941-794-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L. FORT, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-794-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "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 Apr 20, 2008; 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.