NPIMap

Organization Active NPI

Premier Medical Associates LLC

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1871609040
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071298 Issued in FL
Legal business name
PREMIER MEDICAL ASSOCIATES LLC
Practice address
2109 59TH St W
Bradenton, FL 34209-7015
Phone
(941) 761-3777
Fax
(941) 761-3779
NPI assigned
Aug 21, 2006
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Gustavo B Arrojo, MDNPI 1992798151
Title
Owner
Phone
(941) 761-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0071298 FL Primary

Addresses

Primary practice location

2109 59TH St W
Bradenton, FL 34209-7015

Mailing address

PO Box 14056
Bradenton, FL 34280-4056
Phone (941) 761-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1871609040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14056",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804056",
            "telephone_number": "941-761-3777",
            "fax_number": "941-761-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097015",
            "telephone_number": "941-761-3777",
            "fax_number": "941-761-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "ARROJO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071298",
            "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 Mar 29, 2012; 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.