Active NPI
Karen Olson Brainard, MD
- Family Medicine Physician
- Bradenton, FL
National Provider Identifier
1912938549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME94066
- Practice address
- 8614 State Road 70 E Ste 200
Bradenton, FL 34202-3710 - Phone
- (941) 727-1243
- Fax
- (941) 751-9039
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6893 | NH | |
| Family Medicine Physician | 207Q00000X | MD20050625 | NM | |
| Family Medicine Physician | 207Q00000X | ME94066 | FL | Primary |
Addresses
Primary practice location
8614 State Road 70 E Ste 200
Bradenton, FL 34202-3710
Mailing address
6900 Tavistock Lakes Blvd Ste 300
Orlando, FL 32827-7592
Phone (833) 309-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91107 | Other | FL | BCBS PIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070209000027 | FL | Practitioner - Family Practice | 2264467109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20050625 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradenton East Integrative Medicine | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Family Medicine | Past | Accepting new patients |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Locations
8614 State Road 70 E
Ste 200
Bradenton, FL 34202
Phone (941) 727-1243
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1255631149
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
Family Medicine
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1912938549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277592",
"telephone_number": "833-309-3737",
"fax_number": "321-380-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 STATE ROAD 70 E STE 200",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342023710",
"telephone_number": "941-727-1243",
"fax_number": "941-751-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAINARD",
"first_name": "KAREN",
"middle_name": "OLSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "6893",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD20050625",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME94066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "91107",
"state": "FL"
}
],
"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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.