ERVIN E BERNOTUS (NPI# 1255397766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255397766 |
| Entity Type | Individual |
| Full Name | ERVIN E BERNOTUS |
| Credential | MD |
| Practice Address |
8625 54th Dr E Bradenton FL 34211-9456 |
| Practice Telephone | 9417534400 |
| Practice Fax Number | 9417534408 |
| Mailing Telephone | 9417534400 |
| Mailing Fax Number | 9417534408 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 174400000X | Specialist | ME88550 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 48581 | 01 |
| Street Address |
8625 54TH DR E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-9456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750658886 | Ervin E. Bernotus Md, P.a. | Physical Medicine & Rehabilitation | 8625 54th Dr E, Bradenton, FL 34211-9456 | 2011-11-17 |
| 1750538476 | Braden River Internal Medicine Associates LLC | Internal Medicine | 8625 54th Dr E, Bradenton, FL 34211-9456 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432053 | Elite Anesthesia of Florida LLC | Specialist | 342 Castaway Cay Drive, Bradenton, FL 34209-2209 | 2015-07-14 |
| 1417340969 | Patti L Wood | Specialist | 3931 Riverview Blvd, Bradenton, FL 34209-2000 | 2015-03-09 |
| 1669804613 | Ipm Institute, Inc. | Specialist | 1215 Bayshore Gardens Pkwy, Bradenton, FL 34207-4857 | 2013-08-01 |
| 1477801108 | Justitia Haddad | Specialist | 4312 55th Ave Drive East, Bradenton, FL 34203 | 2012-08-28 |
| 1922374727 | Kristin E Stella | Specialist | 6907 22nd St W, Bradenton, FL 34207-5702 | 2012-03-26 |
| 1033410576 | Florida Coastal Plastic Sugery | Specialist | 5105 Manatee Avenue West, Suit 19, Bradenton, FL 34209-3715 | 2010-11-16 |
| 1659689081 | De'ann Burton | Specialist | 710 137th St Ne, Bradenton, FL 34212-2751 | 2010-09-20 |
| 1831413327 | Richard Rizzuto Md Pa | Specialist | 3938 E State Road 64, Bradenton, FL 34208-9059 | 2010-03-26 |
| 1922333186 | Macula and Diabetic Eye Center LLC | Specialist | 4916 26th St W, Ste 200, Bradenton, FL 34207-1712 | 2009-10-06 |
| 1811134794 | Coastal Orthopedics & Sports Medicine of Southwest Fl, Pa | Specialist | 5101 4th Avenue Cir E Ste 500, Bradenton, FL 34208-5631 | 2009-01-14 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on ERVIN E BERNOTUS.
| 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.