Brian Brader, A.P., D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2653 Issued in FL

Practice address

515 36TH St W
Suite D
Bradenton, FL 34205-2459

Phone

(941) 745-1313

Fax

(941) 745-1334

NPI assigned

Sep 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Palma Sola Therapies LLC

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
  • NPI 1588957609
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1780935916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 36TH ST W",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052459",
            "telephone_number": "941-745-1313",
            "fax_number": "941-745-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 36TH ST W",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052459",
            "telephone_number": "941-745-1313",
            "fax_number": "941-745-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADER",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "A.P., D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2653",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "661-55",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradenton Surgery Center Inc
• Bradenton Surgical Associates, P.a.
• Bradenton Surgical Group PA
• Bradenton Women'S Center PA
• Bradenton Womens Care LLC
• Kevin Lyle Bradley, LMT
• Andrew Brady, BS
• Jetta Jean Brady, DO
• Karen Olson Brainard, MD
• Joseph M Branconi, MD

• Acupuncturist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.