MR. BRETT R BOLHOFNER (NPI# 1134193667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134193667 |
Entity Type | Individual |
Full Name | MR. BRETT R BOLHOFNER |
Credential | M.D. |
Practice Address |
4600 4th Street North St Petersburg FL 33703-3802 |
Mailing Address |
4600 4th Street North All Florida Orthopaedic Associates St Petersburg FL 33703-3802 |
Practice Telephone | 7275275272 |
Practice Fax Number | 7275227412 |
Mailing Telephone | 7275275272 |
Mailing Fax Number | 7275227412 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2011-11-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
ME0038574 | FL | Allopathic & Osteopathic Physicians |
N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
ME38574 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 063561800 | 05 | |
FL | 065926600 | 05 |
Street Address |
4600 4TH STREET NORTH |
City | ST PETERSBURG |
State | FL |
Zip Code | 33703-3802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619954336 | Robert L Swiggett Jr. | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2005-12-22 |
1114075983 | See Wai Elsie Lo | Physician Assistant | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2007-01-08 |
1063467819 | Peggy A. Kulpaca | Physician Assistant | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-05-23 |
1871547737 | Stephen Carl Anderson | Radiology | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-05-22 |
1194799098 | Paul R. Russo | Registered Nurse | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-15 |
1942274485 | George H Canizares | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
1922072461 | Jorge A Rodriguez | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
1629042163 | William E Lowry | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
1043283948 | Clinton Bertrand Davis II | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
1780657551 | Robert G Hamilton | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
Find all providers in zip 33703 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
1396055299 | Raymond A Long | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2010-10-14 |
1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
1386846871 | Lisa R Blackrick | Orthopaedic Surgery | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2007-06-05 |
1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
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City | ST PETERSBURG |
Zip Code | 33703 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.