Active NPI
Michael Brien Bloodworth Jr.
- Certified Registered Nurse Anesthetist
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11036844
- Practice address
- 701 6TH St S
Saint Petersburg, FL 33701-4891 - Phone
- (321) 841-2335
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN152813 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11036844 | FL | Primary |
Addresses
Primary practice location
701 6TH St S
Saint Petersburg, FL 33701-4891
Mailing address
701 6TH St S
Saint Petersburg, FL 33701-4891
Phone (321) 841-2335
Other practice location 1
315 Hospital Dr
Madison, TN 37115-5030
Phone (615) 868-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6945 1St Ave S
St Petersburg, FL 33707-1222
Phone (727) 302-9200
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 893-6182
Hospital & facility affiliations
- Orlando Health Bayfront Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN152813 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1992460117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 6TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014891",
"telephone_number": "321-841-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 6TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014891",
"telephone_number": "321-841-2335"
}
],
"practiceLocations": [
{
"address_1": "315 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "TN",
"postal_code": "371155030",
"country_code": "US",
"telephone_number": "615-868-6503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOODWORTH",
"first_name": "MICHAEL BRIEN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN152813",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11036844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.