NPIMap

Organization Active NPI

Brendon Connolly, MD PL

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1699013524
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BRENDON CONNOLLY, MD PL
Practice address
2001 Manatee Ave E
Suite 103
Bradenton, FL 34208-1620
Phone
(941) 757-3521
Fax
(941) 714-0869
NPI assigned
Jan 28, 2013
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Brendon Connolly, MDNPI 1144306572
Title
Owner
Phone
(941) 342-6505

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
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

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

Mailing address

2001 Manatee Ave E
Suite 103
Bradenton, FL 34208-1620
Phone (941) 757-3521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130304000200 FL Part B Supplier - Clinic/Group Practice 6608021308 Receives reassigned benefits from 3 practitioners
Practice locations: Bradenton, FL
O20170520000044 FL DME Supplier - Physician - General Practice 6608021308 Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

530 5th St E
Bradenton, FL 34208
Phone (941) 744-9200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFFDAD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1699013524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-757-3521",
            "fax_number": "941-714-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-757-3521",
            "fax_number": "941-714-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDON CONNOLLY, MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-342-6505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "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 Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.