Individual provider Active NPI

Alexa L. Magner, M.D

  • Pediatrics Physician
  • Bradenton, FL
National Provider Identifier
1972253540
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME174895 Issued in FL
Practice address
5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443
Phone
(941) 755-7000
Fax
(941) 755-7088
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME174895 FL Primary

Addresses

Primary practice location

5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443

Mailing address

5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443
Phone (941) 755-7000

Other practice location 1

1862 Rye Rd Ste 101
Bradenton, FL 34212-9038
Phone (941) 755-7000

Other identifiers 1

IdentifierTypeStateIssuer
127327700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME174895FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Federico a. Frias MD PA Pediatrics PastSince Aug 10, 2025 Accepting new patients
Federico a. Frias MD PA Pediatrics PastSince Aug 10, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexa.magner.1@21958.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1972253540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD",
            "address_2": "SUITE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD",
            "address_2": "SUITE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1862 Rye Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342129038",
            "country_code": "US",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNER",
        "first_name": "ALEXA",
        "middle_name": "L.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME174895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127327700",
            "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 Aug 4, 2025; 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.