Organization Active NPI

Center for Medicine Inc

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1831175553
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71428 Issued in FL
Legal business name
CENTER FOR MEDICINE INC
Practice address
6400 Manatee Ave W
Suite a
Bradenton, FL 34209-2378
Phone
(841) 761-8505
Fax
(941) 761-8240
NPI assigned
Dec 15, 2005
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mr. Vishal Sharma, MDNPI 1750464004
Title
Owner
Phone
(941) 761-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME71428 FL Primary

Addresses

Primary practice location

6400 Manatee Ave W
Suite a
Bradenton, FL 34209-2378

Mailing address

6400 Manatee Ave W
Suite a
Bradenton, FL 34209-2378
Phone (841) 761-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000725 FL Part B Supplier - Clinic/Group Practice 5395708820 Receives reassigned benefits from 4 practitioners
Practice locations: Ellenton, FL; Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0998773Center for Medicine Inc6400 Manatee Ave W Ste a, Bradenton, FL 34209Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

5517 21st Ave W
Ste E
Bradenton, FL 34209
Phone (941) 761-8505

Practitioners & affiliated clinicians

Practitioners 8

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": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1831175553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "841-761-8505",
            "fax_number": "941-761-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "841-761-8505",
            "fax_number": "941-761-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-8505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71428",
            "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 Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.