BRYAN P MATHIESON (NPI# 1205022555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205022555 |
| Entity Type | Individual |
| Full Name | BRYAN P MATHIESON |
| Credential | NP |
| Practice Address |
2010 59th St W Suite 2200 Bradenton FL 34209-4616 |
| Practice Telephone | 9417945621 |
| Practice Fax Number | 9417611532 |
| Mailing Telephone | 9417945621 |
| Mailing Fax Number | 9417611532 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28155878A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200889510 | 05 | |
| IN | ANTHEM | 000000584893 | 01 |
| OH | 3124112 | 05 |
| Street Address |
2010 59TH ST W SUITE 2200 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061934 | Michael F Oswanski | Surgery | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2005-05-31 |
| 1093249443 | Musculoskeletal Institute Chartered | Clinic/Center | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 | 2017-04-12 |
| 1083150502 | Chasity Kentros | Nurse Anesthetist, Certified Registered | 2010 59th St W, #4650, Bradenton, FL 34209-4616 | 2017-01-07 |
| 1497123228 | Samantha Hardwicke | Physician Assistant | 2010 59th St W, 2200, Bradenton, FL 34209-4616 | 2015-09-10 |
| 1093066516 | Jason Alexandre Jaffe | Physician Assistant | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2012-09-24 |
| 1619262813 | West Florida Anesthesia Trauma Services LLC | Nurse Anesthetist, Certified Registered | 2010 59th St W, Ste 4650, Bradenton, FL 34209-4616 | 2011-06-15 |
| 1720373228 | Bradenton Cardiology Physician Network LLC | Internal Medicine | 2010 59th St W, Ste. 4200, Bradenton, FL 34209-4616 | 2011-06-13 |
| 1902198948 | West Florida Trauma Network, LLC | Oral & Maxillofacial Surgery | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2011-05-10 |
| 1275840324 | Amanda Suzanne Urzykowski | Nurse Anesthetist, Certified Registered | 2010 59th St W, Bradenton, Bradenton, FL 34209-4616 | 2010-09-10 |
| 1518296516 | Sherri Lynn Anne Davidson | Nurse Practitioner | 2010 59th St W, Suite 3600, Bradenton, FL 34209-4616 | 2009-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760018048 | Monica Thiany Cruz | Nurse Practitioner | 6615 63rd Ter E, Bradenton, FL 34203-8042 | 2020-03-18 |
| 1932745932 | Jessica Lee Eldridge-moore | Nurse Practitioner | 7705 15th Ave Nw, Bradenton, FL 34209-1014 | 2019-11-25 |
| 1316596489 | Valerie Smith Ismail | Nurse Practitioner | 340 Sapphire Lake Dr Unit 101, Bradenton, FL 34209-3445 | 2019-09-10 |
| 1124584297 | Melanie Manney | Nurse Practitioner | 14826 7th Ave E, Bradenton, FL 34212-2902 | 2019-02-14 |
| 1356645972 | Leigh Ann Tesar | Nurse Practitioner | 8614 State Road 70 E Ste 104, Bradenton, FL 34202-3710 | 2010-12-23 |
| 1750605440 | Aimee Suzanne Hall | Nurse Practitioner | 2010 59th St W Ste 2200, Bradenton, FL 34209-4689 | 2010-03-24 |
| 1639392723 | Karin E Pape | Nurse Practitioner | Company Care Suite 3600, Blake Medical Center 2010 59th Street, Bradenton, FL 34209 | 2007-04-10 |
| 1003960295 | Judy Humphreys | Nurse Practitioner | 9908 Sr 64, Bradenton, FL 34212-5303 | 2007-01-23 |
| 1497783948 | Deborah Howard-patton | Nurse Practitioner | 8614 E State Road 70 Ste 104, Bradenton, FL 34202-3710 | 2006-06-30 |
| 1942236484 | Janet C. Du Bois | Nurse Practitioner | 3110 45th Way E, Bradenton, FL 34203-8890 | 2006-06-25 |
| Find all providers in BRADENTON | ||||
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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.