Jeremy D. McConnell, MD, PA

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

License

ME83356 Issued in FL

Legal business name

JEREMY D. MCCONNELL, MD, PA

Practice address

5717 21St Ave W
Bradenton, FL 34209

Phone

(941) 792-8383

Fax

(941) 792-8484

NPI assigned

Apr 20, 2016

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy David McConnell, MDNPI 1700871969

Title

President

Phone

(813) 404-0159

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Jeremy McConnell, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Bradenton, FL
  • NPI 1700871969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1841644358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S East Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392342",
            "country_code": "US",
            "telephone_number": "941-827-0701",
            "fax_number": "941-365-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEREMY D. MCCONNELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-404-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME83356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "NZ725",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Vesper MD PA
• Thomas A Jennings, CRNA
• Austin Jensen, PTA, LMT, CSCS
• Renee M. Jensen, A,P
• Megan Elizabeth Jepsen, DC
• Jessica Bledsoe Counseling Services, LLC
• Victoria Marie Jessie
• Melinda B Jeter, PA-C
• Ashley Jette
• Payal Jhawar, MD

• Sleep Medicine (Family Medicine) Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Sleep Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.