NPIMap

Organization Active NPI

Westside Medical Care, Inc

  • Specialist
  • Bradenton, FL
National Provider Identifier
1730239583
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME71117 Issued in FL
Legal business name
WESTSIDE MEDICAL CARE, INC
Practice address
2225 59TH St W Ste B
Bradenton, FL 34209-7006
Phone
(941) 792-1412
Fax
(941) 795-0753
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Mrs. Pamela A Perry
Title
Office Manager
Phone
(941) 792-1412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME71117 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 24084 FL

Addresses

Primary practice location

2225 59TH St W Ste B
Bradenton, FL 34209-7006

Mailing address

2225 59TH St W Ste B
Bradenton, FL 34209-7006
Phone (941) 792-1412

Other identifiers 2

IdentifierTypeStateIssuer
BLUE CROSS BLUE SHIEOtherFL94816
DE7241OtherFLRR MEDICARE

Other names 1

  • westside medical care, inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000704 FL Part B Supplier - Clinic/Group Practice 9335108851 Receives reassigned benefits from 9 practitioners
Practice locations: Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0295177Westside Medical Care2225 59TH St W Suite B, Bradenton, FL 34209Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

1810 59th St W
Bradenton, FL 34209
Phone (941) 792-1412

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

3909 E Bay Dr
Holmes Beach, FL 34217
Phone (941) 778-2204

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1730239583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097006",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097006",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-792-1412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME71117",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "24084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "94816",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE7241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "westside medical care, inc",
            "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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.