Bradenton Women'S Center PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BRADENTON WOMEN'S CENTER PA

Practice address

3950 E State Road 64
Bradenton, FL 34208-9059

Phone

(941) 708-5045

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Surichya Surattanont, MD

Title

President

Phone

(941) 708-5045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932198736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-708-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-708-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON WOMEN'S CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURATTANONT",
        "authorized_official_first_name": "SURICHYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-708-5045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradenton Resources Inc
• Bradenton Senior Housing
• Bradenton Surgery Center Inc
• Bradenton Surgical Associates, P.a.
• Bradenton Surgical Group PA
• Bradenton Womens Care LLC
• Brian Brader, A.P., D.O.M.
• Kevin Lyle Bradley, LMT
• Andrew Brady, BS
• Jetta Jean Brady, DO

• Obstetrics & Gynecology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.