DR. BRANDON LUCAS COFFEY (NPI# 1134493588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134493588 |
| Entity Type | Individual |
| Full Name | DR. BRANDON LUCAS COFFEY |
| Credential | D.O. |
| Practice Address |
12432 Davie Ct Venice FL 34293-5789 |
| Practice Telephone | 4232151485 |
| Mailing Telephone | 4232151485 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2651 | TN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS16524 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2651 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | M1092 | 01 |
| FL | 105941700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 726 Mcfarland St, Morristown, TN 378143989 | 4235226000 | 4235874552 |
| Street Address |
12432 DAVIE CT |
| City | VENICE |
| State | FL |
| Zip Code | 34293-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881585 | Raymond Lachlan Steele | Internal Medicine | 842 Sunset Lake Blvd Ste 401, Venice, FL 34292-7553 | 2017-03-07 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1407090921 | John Melecito Baga | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2009-04-28 |
| 1376795401 | Venetian Hospitalist Services | Internal Medicine | 535 Us Hwy 41 Bypass N, Ste 239, Venice, FL 34292-0000 | 2008-10-21 |
| 1295946804 | Robert Joel Heller | Internal Medicine | 1126 Rose Ave, Venice, CA 90291-2835 | 2007-05-24 |
| 1184783615 | Todd Feinman | Internal Medicine | 1532 Penmar Ave, Venice, CA 90291-2936 | 2006-12-08 |
| 1437255916 | Eric Lough | Internal Medicine | 329 Nokomis Ave S Ste F, Venice, FL 34285-2418 | 2006-09-15 |
| 1750494555 | Rosaura E Baez | Internal Medicine | 4125 S Tamiami Trl Ste 2, Venice, FL 34293-5121 | 2006-08-16 |
| 1154333581 | Guillermo Marcos Oynick Yaschin | Internal Medicine | 1287 Us Highway 41bypass S, Venice, FL 34285-5545 | 2006-08-13 |
| 1306860382 | Robert R Lastomirsky | Internal Medicine | 740 The Rialto, Venice, FL 34285-3524 | 2006-07-26 |
| Find all providers in VENICE | ||||
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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.