Individual provider Active NPI

Nina A Lundberg, MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1902200702
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME149037 Issued in FL
Practice address
7431 Manatee Ave W
Bradenton, FL 34209-3444
Phone
(941) 313-7142
Fax
(941) 794-2805
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME149037 FL Primary
Family Medicine Physician 207Q00000X ME149037 FL

Addresses

Primary practice location

7431 Manatee Ave W
Bradenton, FL 34209-3444

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlundberg120316@direct.edward.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002948 FL Practitioner - Internal Medicine 8628366580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saginaw Valley Medical College - NLG, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

7431 Manatee Ave W
Maxhealth Physical Therapy
Bradenton, FL 34209-3444
Phone (941) 315-6182

Hospital & facility affiliations

  • Empath Home Health Home health agency, Brandon, FL, CCN 683126
  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Residential Home Health of WC FL Home health agency, Palmetto, FL, CCN 103172
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME149037FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Florida Medical Specialists LLC Family Medicine CurrentSince Jun 24, 2024 Accepting new patients
Arcadia Medical Associates PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Arcadia Medical Associates PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Florida Medical Specialists LLC CurrentSince Jun 24, 2024 Accepting new patients
MCR Health, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Florida Medical Specialists LLC Family Medicine Past Accepting new patients
Best Value Healthcare LLC Internal Medicine Past Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

7431 Manatee Ave W
Bradenton, FL 34209
Phone (941) 313-7142

701 Manatee Ave W
Ste 101
Bradenton, FL 34205
Phone (941) 748-3065

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nlundberg120316@direct.edward.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1902200702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "877-807-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093444",
            "telephone_number": "941-313-7142",
            "fax_number": "941-794-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "NINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149037",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlundberg120316@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1804 N Naper Blvd Ste 103",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605638831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.