Gabrielle M. Boodoo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME134743 Issued in FL

Practice address

3400 Bee Ridge Rd Ste 120
Sarasota, FL 34239-7243

Phone

(941) 924-9900

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gabrielle Christine Messmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Taylor Regional Hospital

  • Pediatrics Physician
  • Hawkinsville, GA
  • NPI 1720339336
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1730529652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD STE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-924-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD STE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397243",
            "telephone_number": "941-924-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Sunset Ln",
            "address_2": "Suite A&C",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013942",
            "country_code": "US",
            "telephone_number": "540-825-5381",
            "fax_number": "540-829-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOODOO",
        "first_name": "GABRIELLE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME134743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001396800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "MESSMER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cinthya Bonilla, LMT
• Gina Bonilla
• Krystian Bonilla
• Bonsai Physical Therapy LLC
• Regina Carol Bonynge, OTR/L
• Jesse Corey Boodoo, MD
• Carlos A Borge, M.D.
• Trevor R Born, MD
• Elizabeth Bornstein, MSSA, LCSW, OSW-C
• Joan L Bornstein, MSW LCSW

• Pediatrics Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.