Active NPI
Roger Lee Harcourt, M.D.
- Internal Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME95059
- Practice address
- 4430 14TH St W
Bradenton, FL 34207-1425 - Phone
- (941) 297-2123
- Fax
- (941) 297-2210
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | AJ002516L | PA | |
| Internal Medicine Physician | 207R00000X | MD072508L | PA | |
| Internal Medicine Physician | 207R00000X | ME95059 | FL | Primary |
| Orthopedic Chiropractor | 111NX0800X | DC-002516-L | PA | |
| Internal Medicine Physician | 207R00000X | 2008 00631 | NC |
Addresses
Primary practice location
4430 14TH St W
Bradenton, FL 34207-1425
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4430 14TH St W
Bradenton, FL 34207-1425
Phone (941) 297-2123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AJ002516L | PA | MD | Rehabilitation Chiropractor |
| DC-002516-L | PA | MD | Orthopedic Chiropractor |
| 2008 00631 | NC | MD | Internal Medicine Physician |
| MD072508L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Medical of Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Trinity Medical Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Epn Family Care LLC | Past | Accepting new patients | |
| Conviva Medical Center Management LLC | Internal Medicine | Past | Accepting new patients |
| Epn Urgent Care LLC | Past | Accepting new patients | |
| Emergency Physicians of Naples PLLC | Past | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients | |
| Metcare of Florida, Inc | Internal Medicine | Past | Accepting new patients |
| Memorial Enterprises, Inc. | Past | Accepting new patients | |
| Memorial Enterprises Inc | Past | Accepting new patients |
Locations
4430 14th St W
Bradenton, FL 34207
Phone (941) 297-2123
3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337
3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337
3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000
425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947
6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Internal Medicine Physician
- Venice, FL
- NPI 1497453450
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1225652878
Internal Medicine
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1861410656
-
- Family Medicine Physician
- Naples, FL
- NPI 1013101112
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1275624579
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
-
dba Memorial Primary Care Network
- Family Medicine Physician
- York, PA
- NPI 1275734345
-
dba York OB/GYN Specialists
- Obstetrics & Gynecology Physician
- York, PA
- NPI 1255648895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1831300532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071425",
"telephone_number": "941-297-2123",
"fax_number": "941-297-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARCOURT",
"first_name": "ROGER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "AJ002516L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD072508L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME95059",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "DC-002516-L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008 00631",
"primary": false
}
],
"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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.