Organization Active NPI

Bradenton Surgical Associates, P.a.

  • Surgery Physician
  • Bradenton, FL
National Provider Identifier
1932198876
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BRADENTON SURGICAL ASSOCIATES, P.A.
Practice address
5601 21St Ave W
Suite D
Bradenton, FL 34209-5642
Phone
(941) 748-1471
Fax
(941) 748-6195
NPI assigned
Oct 13, 2005
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Cynthia Tinkham
Title
Office Manager
Phone
(941) 748-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

5601 21St Ave W
Suite D
Bradenton, FL 34209-5642

Mailing address

5601 21St Ave W
Suite D
Bradenton, FL 34209-5642
Phone (941) 748-1471

National Provider Directory

National Provider Directory

Locations

1884 59th St W
Bradenton, FL 34209
Phone (941) 748-1471

Practitioners & affiliated clinicians

Practitioners 2

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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1932198876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-748-1471",
            "fax_number": "941-748-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 21ST AVE W",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095642",
            "telephone_number": "941-748-1471",
            "fax_number": "941-748-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "TINKHAM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-748-1471"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "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 Jul 20, 2010; 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.