ROBERT CHARLES BARDIN (NPI# 1548776065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548776065 |
| Entity Type | Individual |
| Full Name | ROBERT CHARLES BARDIN |
| Practice Address |
11375 Cortez Blvd Brooksville FL 34613-5409 |
| Mailing Address |
4310 16th Ave N Saint Petersburg FL 33713-4613 |
| Practice Telephone | 3525966632 |
| Mailing Telephone | 7274180361 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9110973 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11375 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252325 | Francisco Menendez | Radiology | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2005-08-11 |
| 1740809268 | Benjamin Micah Reinhold | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-14 |
| 1427677392 | Meagan Brandy Powers | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-10 |
| 1619596749 | Rahman Hashimie | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1184243271 | Bradford James Felker Montane | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1689293763 | Marjory Jones | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1427687615 | Sai Pavan Kumar Vemula | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1609495886 | Andrew Massaband | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1518596741 | Nabeel Zafrullah | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1972132124 | Ryan Maurice Johnson | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954252 | Hernando Emergency Group LLC | Physician Assistant | 55 Ponce De Leon Blvd, Brooksville, FL 34601-3200 | 2005-12-26 |
| 1548589930 | Scott Michael Edwards | Physician Assistant | 12900 Cortez Blvd, Suite 205, Brooksville, FL 34613-6828 | 2010-05-25 |
| 1023241643 | Ashley Kay Johnston | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2009-08-30 |
| 1134360761 | Bryan T Moynihan | Physician Assistant | 14555 Cortez Blvd, Brooksville, FL 34613-6003 | 2009-03-11 |
| 1518930023 | Joann J Dunsmore | Physician Assistant | 14540 Cortez Blvd, Ste 108, Brooksville, FL 34613-6056 | 2006-02-07 |
| 1205820511 | Monte Edwards | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| 1114911328 | Gary L Clark | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on ROBERT CHARLES BARDIN.
| 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.