BRADENTON MEDICAL ENTERPRISES, INC. (NPI# 1538188792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538188792 |
| Entity Type | Organization |
| Organization Name | BRADENTON MEDICAL ENTERPRISES, INC. |
| Other Organization Name | PHYSICIANS DIALYSIS |
| Practice Address |
4802 Grand Blvd New Port Richey FL 34652-5106 |
| Mailing Address |
19559 Ne 10th Ave N Miami Beach FL 33179-3501 |
| Practice Telephone | 7278158385 |
| Practice Fax Number | 7278487943 |
| Mailing Telephone | 3056513261 |
| Mailing Fax Number | 3056512961 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | ARTURO FERNANDEZ (VICE PRESIDENT) |
| Authorized Official Telephone | 3056513261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 209756701 | 05 | |
| FL | BC BS FLORIDA | R8226 | 01 |
| Other Name | Type Code |
|---|---|
| Physicians Dialysis | Doing Business As Name - Organization |
| Street Address |
4802 GRAND BLVD |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687195 | Destiny Alliance Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1490 Nw 3rd Ave, Suite 110, Miami, FL 33136-1838 | 2016-01-21 |
| 1114214293 | American Health Innovations, Inc. | Durable Medical Equipment & Medical Supplies | 17 Royal Palm Way, Suite 106, Boca Raton, FL 33432 | 2011-07-08 |
| 1902051337 | Future Advance Corp | Durable Medical Equipment & Medical Supplies | 1490 W 49th Pl Ste 555, Hialeah, FL 33012-8135 | 2008-11-26 |
| 1659563823 | Pdarby of Florida Inc | Durable Medical Equipment & Medical Supplies | 1306 Lake Lucerne Way, Ste 303, Brandon, FL 33511-2293 | 2007-08-13 |
| 1538387212 | Lifeline Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 4960 Sw 52nd St, # 407-408, Davie, FL 33314-5530 | 2007-04-20 |
| 1720133903 | Vlla and Rent Solution Inc | Durable Medical Equipment & Medical Supplies | 6500 Nw 72nd Ave, #202, Miami, FL 33166-3629 | 2007-01-25 |
| 1215953500 | Orion Medical Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 19559 Ne 10th Ave, North Miami Beach, FL 33179-3501 | 2006-07-14 |
| 1093746810 | Kidney Kare, Inc. | Durable Medical Equipment & Medical Supplies | 326 East Dania Beach Blvd., Dania, FL 33004 | 2006-07-06 |
| 1275526113 | Peritoneal Dialysis Supply, LLC | Durable Medical Equipment & Medical Supplies | 1964 Bayshore Blvd, Suite C, Dunedin, FL 34698-2576 | 2005-08-25 |
| 1245856475 | Your Way Rx LLC | Durable Medical Equipment & Medical Supplies | 1495 Forest Hill Blvd Ste G, West Palm Beach, FL 33406-6073 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
Please comment or provide details below to improve the information on BRADENTON MEDICAL ENTERPRISES, INC..
| 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.