Individual provider Active NPI

Jorge Enrique Leal Jr., MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1902366859
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME157287 Issued in FL
Practice address
7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone
(941) 752-2882
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME157287 FL Primary

Addresses

Primary practice location

7005 Cortez Rd W
Bradenton, FL 34210-2509

Mailing address

3013 Live Oak LN
Palmetto, FL 34221-5953
Phone (786) 395-0648

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
I20220817003943 FL Practitioner - Internal Medicine 9830427608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Florida Physician Network, LLCGroup PAC ID 1153476544, 49 clinicians

Practice addresses (Care Compare)

7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone (941) 465-4800

Hospital & facility affiliations

  • Residential Home Health of WC FL Home health agency, Palmetto, FL, CCN 103172
  • HCA Florida Healthcare at Home Home health agency, Bradenton, FL, CCN 107656
  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • 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
ME157287FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Physician Network, LLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

7005 Cortez Rd W
Bradenton, FL 34210
Phone (941) 465-4800

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jorge.leal@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1902366859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 LIVE OAK LN",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215953",
            "telephone_number": "786-395-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "941-752-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME157287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.