STACEY BISPHAM ROYCE


Address: 6001 21st Ave W, Bradenton, FL 34209-7847
Phone: 9417614448

STACEY BISPHAM ROYCE (NPI# 1205027620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205027620
Entity Type Individual
Full Name STACEY BISPHAM ROYCE
Other Name STACEY E BISPHAM
Credential PA-C
Practice Address 6001 21st Ave W
Bradenton
FL 34209-7847
Practice Telephone 9417614448
Practice Fax Number 9417610235
Mailing Telephone 9417614448
Mailing Fax Number 9417610235
Enumeration Date 2007-08-09
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9104208 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE NUMBER PA9104208 01

Office Location

Street Address 6001 21ST AVE W
City BRADENTON
State FL
Zip Code 34209-7847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528067535 Dinah Kay Craig Physician Assistant 6001 21st Ave W, Bradenton, FL 34209-7847 2005-07-20
1508470824 Mcr Health, Inc. Internal Medicine 6001 21st Ave W, Bradenton, FL 34209-7847 2020-09-03
1356972533 Mcr Health, Inc. Internal Medicine 6001 21st Ave W, Bradenton, FL 34209-7847 2020-01-28
1699246173 Rachel E Reichert Nurse Practitioner 6001 21st Ave W, Bradenton, FL 34209-7847 2018-12-10
1366806770 Renee Mary Saboya Nurse Practitioner 6001 21st Ave W, Bradenton, FL 34209-7847 2016-04-12
1033454400 Alyssa Rowe Nurse Practitioner 6001 21st Ave W, Bradenton, FL 34209-7847 2012-12-11
1265738454 Erica Marie-tyne Disanto Nurse Practitioner 6001 21st Ave W, Bradenton, FL 34209-7847 2011-02-04
1154394435 Carol M Rhodes Nurse Practitioner 6001 21st Ave W, Bradenton, FL 34209-7847 2006-02-08
1205823838 Joseph N Pace Internal Medicine 6001 21st Ave W, Bradenton, FL 34209-7847 2005-09-29
1841287497 Heart & Vascular Center of Bradenton, Pllc Internal Medicine 6001 21st Ave W, Bradenton, FL 34209-7847 2005-09-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275141814 Michi Cristina Carlsson Physician Assistant 231 Sun Isle Cir Unit 308, Bradenton, FL 34208-2728 2020-07-20
1154945178 Dana J Scott Physician Assistant 9826 18th Dr Nw, Bradenton, FL 34209-8102 2020-06-05
1275162216 Regina Marie Aluise Physician Assistant 7710 Camden Harbour Dr, Bradenton, FL 34212-9311 2020-04-02
1932750197 Victor Zavala More Physician Assistant 200 3rd Ave W Ste 100, Bradenton, FL 34205-8628 2019-09-27
1083175236 Nisha Patel Physician Assistant 2902 59th St W Ste C, Bradenton, FL 34209-7021 2019-03-29
1346735719 Jessica Levanti Physician Assistant 714 Manatee Ave E Ste A, Bradenton, FL 34208-1235 2018-06-27
1104337294 Desoto Lakes Emergency Physicians LLC Physician Assistant 8500 Sr 70 East, Bradenton, FL 34202 2017-10-17
1902216716 Julie Chorley Physician Assistant 232 Manatee Ave E, Bradenton, FL 34208 2014-05-01
1841221678 David Hervig Physician Assistant 9908 Sr 64 East, Bradenton, FL 34212-5303 2006-07-06
1861437915 Loretta J Putvin-golding Physician Assistant 5309 Sr 64 E, Bradenton, FL 34208 2006-06-20
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Competitor

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City BRADENTON
Zip Code 34209

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Dataset Information

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.

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