Organization Active NPI

Philip S Rasulo MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Bradenton, FL
National Provider Identifier
1720310345
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME37155 Issued in FL
Legal business name
PHILIP S RASULO MD PA
Practice address
724 39TH St W
Bradenton, FL 34205-2454
Phone
(941) 746-0120
NPI assigned
Feb 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2010

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

Authorized official

Name
Philip Rasulo
Title
Officer
Phone
(941) 746-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME37155 FL Primary

Addresses

Primary practice location

724 39TH St W
Bradenton, FL 34205-2454

Mailing address

724 39TH St W
Bradenton, FL 34205-2454
Phone (941) 746-0120

National Provider Directory

National Provider Directory

Locations

724 39th St W
Bradenton, FL 34205
Phone (941) 303-4120

NPI Registry JSON

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265500800000",
    "number": "1720310345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 39TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052454",
            "telephone_number": "941-746-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 39TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052454",
            "telephone_number": "941-746-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S RASULO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-07",
        "last_updated": "2010-02-07",
        "status": "A",
        "authorized_official_last_name": "RASULO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "941-746-0120"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME37155",
            "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 Feb 7, 2010; 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.