Organization Active NPI

Prime Medical of Manatee, LLC

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1750957353
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Frantz Simeon, MDNPI 1013144708
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)CodeLicenseStatePrimary
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 Directory

Locations

3800 26th St W
Bradenton, FL 34205
Phone (941) 753-3949

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.