Active NPI
Ipm Institute, Inc.
Doing business as Innovative Spine Medical Group
- Specialist
- Bradenton, FL
National Provider Identifier
1669804613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME59641
- Legal business name
- IPM INSTITUTE, INC.
- Doing business as
- Innovative Spine Medical Group
- Practice address
- 1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857 - Phone
- (941) 243-3887
- Fax
- (941) 243-3887
- NPI assigned
- Aug 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold J Lawler III, MD
- Title
- Owner
- Phone
- (941) 251-5930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME59641 | FL | Primary |
Addresses
Primary practice location
1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857
Mailing address
1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857
Phone (941) 251-5930
Other names 1
- Innovative Spine Medical Group
National Provider Directory
National Provider DirectoryLocations
1215 Bayshore Gardens Pkwy
Bradenton, FL 34207
Phone (941) 243-3887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406678400000",
"number": "1669804613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 BAYSHORE GARDENS PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074857",
"telephone_number": "941-251-5930",
"fax_number": "941-251-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 BAYSHORE GARDENS PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074857",
"telephone_number": "941-243-3887",
"fax_number": "941-243-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IPM INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"last_updated": "2014-07-30",
"status": "A",
"authorized_official_last_name": "LAWLER",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-251-5930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME59641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovative Spine Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.