Active NPI
Prime Medical of Manatee, LLC
- General Practice Physician
- Bradenton, FL
National Provider Identifier
1750957353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PRIME MEDICAL OF MANATEE, LLC
- Practice address
- 3800 26TH Street West
Bradenton, FL 34205 - Phone
- (941) 896-3110
- Fax
- (941) 896-3117
- NPI assigned
- Jun 3, 2021
- Last updated
- Jun 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frantz Simeon, MD
- Title
- Medical Director
- Phone
- (954) 624-6031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3800 26TH Street West
Bradenton, FL 34205
Mailing address
11040 58TH St Circle East
Parrish, FL 34219
National Provider Directory
National Provider DirectoryLocations
3800 26th St W
Bradenton, FL 34205
Phone (941) 753-3949
Interoperability endpoints
- https://api.platform.athenahealth.com/24186/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Bradenton, FL
- NPI 1013144708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1750957353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 58TH ST CIRCLE EAST",
"city": "PARRISH",
"state": "FL",
"postal_code": "34219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 26TH STREET WEST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34205",
"telephone_number": "941-896-3110",
"fax_number": "941-896-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDICAL OF MANATEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "SIMEON",
"authorized_official_first_name": "FRANTZ",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-624-6031",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"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 Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.