Braden River Internal Medicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME86360 Issued in FL

Legal business name

BRADEN RIVER INTERNAL MEDICINE ASSOCIATES LLC

Practice address

8625 54TH Dr E
Bradenton, FL 34211-9456

Phone

(941) 238-0380

Fax

(941) 238-0390

NPI assigned

Aug 25, 2008

Last updated

May 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine T Lomboy, MD

Title

Owner

Phone

(941) 329-1329

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Ervin E Bernotus, MD

  • Specialist
  • Bradenton, FL
  • NPI 1255397766
  NPD (past)
• Christina M. Knauer, ARNP

  • Nurse Practitioner
  • Lakewood Ranch, FL
  • NPI 1750334314
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1750538476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405484",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845484",
            "telephone_number": "941-238-0380",
            "fax_number": "941-238-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 54TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119456",
            "telephone_number": "941-238-0380",
            "fax_number": "941-238-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN RIVER INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "LOMBOY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-329-1329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "62800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boykins Consulting Service, LLC
• Kameroon Boykins
• Mindy Boyles, LMT
• BPS Tampa, LLC (BAYADA House Calls)
• Braden ER SVCS Partnership LLC
• Braden River Rehabilitation Center, LLC
• Kaleigh Jean Braden, DNP, APRN, FNP-BC
• Bradenton Anesthesia Services LLC
• Bradenton Cardiac Surgeons, PA
• Bradenton Cardiology Center Management Services, Inc

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.