DR. MICHAEL BRUCCULERI (NPI# 1346271145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346271145 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRUCCULERI |
| Credential | M.D. |
| Practice Address |
1055 S Fort Harrison Ave Clearwater FL 33756-3905 |
| Mailing Address |
14134 Nephron Ln Hudson FL 34667-6504 |
| Practice Telephone | 7274426245 |
| Practice Fax Number | 7274473793 |
| Mailing Telephone | 7278635418 |
| Mailing Fax Number | 7278698626 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
94479 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1055 S FORT HARRISON AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564377 | Bay Area Womens Care | Obstetrics & Gynecology | 1055 S Fort Harrison Ave, Clearwater, FL 33756 | 2006-02-01 |
| 1316544000 | Amy Leanne Holzworth | Nurse Practitioner | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2020-10-06 |
| 1891924254 | Tushar Sharma | Internal Medicine | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2009-07-07 |
| 1336153469 | Jeffery E Jensen | Obstetrics & Gynecology | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2006-07-27 |
| 1902810054 | Gail Baird | Registered Nurse | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2006-07-27 |
| 1053384933 | David O Peterfreund | Obstetrics & Gynecology | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1497798508 | Janaki L Narayan | Internal Medicine | 1314 S Fort Harrison Ave, Clearwater, FL 33756-3357 | 2006-06-14 |
| 1871990473 | Robert W Patton Jr Md Jd Pa | Internal Medicine | 613 S Myrtle Ave, Clearwater, FL 33756-5615 | 2014-11-25 |
| 1891924254 | Tushar Sharma | Internal Medicine | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2009-07-07 |
| 1710169248 | Bay Area Nephrology, Pl | Internal Medicine | 1305 S Fort Harrison Ave, Building H, Clearwater, FL 33756-3301 | 2007-11-27 |
| 1477733566 | Vidya Sagar Md Pa | Internal Medicine | 2725 Park Dr Ste 5, Clearwater, FL 33763 | 2007-11-06 |
| 1457376683 | Vidya Sagar | Internal Medicine | 2725 Park Dr, Ste 5, Clearwater, FL 33763-1023 | 2006-07-12 |
| 1962427195 | Gerald Thomas Needham Jr. | Internal Medicine | 1305 S Fort Harrison Ave, Building H, Clearwater, FL 33756-3301 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.