Individual provider Active NPI

Jeremy McConnell, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Bradenton, FL
National Provider Identifier
1700871969
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
ME83356 Issued in FL
Practice address
5717 21St Ave West
Bradenton, FL 34209
Phone
(941) 792-8383
Fax
(941) 792-8484
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83356 FL
Obesity Medicine (Family Medicine) Physician 207QB0002X ME83356 FL
Sleep Medicine (Family Medicine) Physician 207QS1201X ME83356 FL Primary

Addresses

Primary practice location

5717 21St Ave West
Bradenton, FL 34209

Mailing address

5717 21St Ave West
Bradenton, FL 34209
Phone (941) 792-8383

Other identifiers 2

IdentifierTypeStateIssuer
266997800MedicaidFL
1700871969OtherFLNPI

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
I20040126000161 FL Practitioner - Family PracticePractitioner - Sleep Medicine 7810899283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

1215 S E Ave
Suite 301
Sarasota, FL 34239-2342
Phone (941) 827-0701

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Family Practice LLC CurrentSince Jun 1, 2015 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Jeremy D. McConnell, MD, PA Family Medicine CurrentSince Apr 11, 2016 Accepting new patients
Bayfront Physician Specialty Service Past Accepting new patients
Berland and McConnell MDS PA Family Medicine PastSince Sep 1, 2003 Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Berland Medical Group LLC Family Medicine PastSince Dec 1, 2017 Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

5517 21st Ave W
Ste F
Bradenton, FL 34209
Phone (941) 321-9002

5717 21st Ave W
Bradenton, FL 34209
Phone (941) 792-8383

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

13163 66th St
Largo, FL 33773
Phone (813) 344-3627

1215 S East Ave
Ste 301
Sarasota, FL 34239
Phone (941) 792-8383

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

501 Dr Martin Luther King St S
Ste 201
St Petersburg, FL 33705
Phone (727) 250-0094

11018 N Dale Mabry Hwy
Ste 401
Tampa, FL 33618
Phone (813) 961-9393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3123/brand/3/csg/41/fhir/r4
  • Direct secure messaging: jeremy.mcconnell.1@8042.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1700871969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266997800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700871969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.