Manatee Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR131 Issued in FL

Legal business name

MANATEE PROSTHETICS & ORTHOTICS

Doing business as

Bradenton Prosthetics & Orthotics

Practice address

535 8TH St W
Bradenton, FL 34205-8530

Phone

(941) 747-5407

Fax

(941) 747-4914

NPI assigned

Feb 13, 2007

Last updated

Dec 15, 2016By 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

Mr. John D Hagman, LPO,CP

Title

Owner

Phone

(941) 747-5407

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BRADENTON PROSTHETICS & ORTHOTICS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1861534216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 8TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058530",
            "telephone_number": "941-747-5407",
            "fax_number": "941-747-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 8TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058530",
            "telephone_number": "941-747-5407",
            "fax_number": "941-747-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HAGMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-747-5407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO,CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "M2380",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026426100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADENTON PROSTHETICS & ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manatee Pathology Associates, PA
• Manatee Pathology Associates, PA
• Manatee Pharmacy Services Inc. (Manatee Discount Pharmacy)
• Manatee Physician Alliance, LLC
• Manatee Primary Care LLC
• Manatee Sarasota Eye Clinic PA
• Manatee Specialty Physician Alliance, LLC
• Manatee Springs Care & Rehab
• Manatee Surgical Center, LLC
• Manatee Surgical Specialists PA

• Prosthetic/Orthotic Supplier in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.