Organization Active NPI

Living Well Acupuncture PA

  • Community Health Clinic/Center
  • Bradenton, FL
National Provider Identifier
1851702740
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
3445 Issued in FL
Legal business name
LIVING WELL ACUPUNCTURE PA
Practice address
3653 Cortez Rd W Ste 120
Bradenton, FL 34210-3168
Phone
(941) 301-6940
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Reyna Q Bragg, DOM AP
Title
Dom Ap
Phone
(941) 301-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 3445 FL Primary

Addresses

Primary practice location

3653 Cortez Rd W Ste 120
Bradenton, FL 34210-3168

Mailing address

3653 Cortez Rd W Ste 120
Bradenton, FL 34210-3168
Phone (941) 301-6940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1851702740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 CORTEZ RD W STE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103168",
            "telephone_number": "941-301-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 CORTEZ RD W STE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103168",
            "telephone_number": "941-301-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL ACUPUNCTURE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "REYNA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DOM AP",
        "authorized_official_telephone_number": "941-301-6940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM AP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "3445",
            "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 Sep 26, 2014; 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.