Bruce Benjamine Whitney, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

9102589 Issued in FL

Practice address

1540 S Tamiami TRL
Suite 303
Sarasota, FL 34239-2921

Phone

(941) 917-8791

Fax

(941) 917-8793

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cardio-Thoracic & Vascular Surgical Associates, P.C.

  • Vascular Surgery Physician
  • Mobile, AL
  • NPI 1750389532
  NPD (past)
• Imc-Cardio-Thoracic and Vascular Surgical Associates LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mobile, AL
  • NPI 1841848553
  NPD (past)
• Midwest Cardiovascular & Thoracic Surgery, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
  • NPI 1588741235
  NPD (past)
• Nicole Golding, M.D., P.S.C.

  dba Nicole Golding & Associates

  • Physical Medicine & Rehabilitation Physician
  • Topeka, KS
  • NPI 1922144054
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1982893319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860001",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL",
            "address_2": "SUITE 303",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-8791",
            "fax_number": "941-917-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "BRUCE",
        "middle_name": "BENJAMINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9102589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NO",
            "identifier": "970000095",
            "state": "AS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982893319",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200597730 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kamryn Whitener, PHARMD
• Zachary Cole Whiteside, DO
• Erin Whitlock
• Annette Whitmer
• Heather Michelle Whitmire, FNP-C
• Michelle Whitten
• Cherish Ann Whittenburg
• Whole Health Medical LLC
• Whole Person Healing Center Inc
• Wholesome Lactation Care, LLC

• Surgical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.