KIDNEY DISEASE CONSULTANTS OF BRADENTON PA (NPI# 1609982214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609982214 |
| Entity Type | Organization |
| Organization Name | KIDNEY DISEASE CONSULTANTS OF BRADENTON PA |
| Practice Address |
508 Manatee Ave E Bradenton FL 34208-1146 |
| Practice Telephone | 9417440024 |
| Practice Fax Number | 9417461048 |
| Mailing Telephone | 9417440024 |
| Mailing Fax Number | 9417461048 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | MR. THOMAS NEWBY BRAXTAN III (PRESIDENT) |
| Authorized Official Telephone | 9417440024 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7954 | 01 |
| Street Address |
508 MANATEE AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477669026 | Guruswamy Ramamurthy | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2006-08-23 |
| 1679767677 | Myra Drew Carreon | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2007-09-01 |
| 1720288509 | Olga Kuchmak | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2007-07-20 |
| 1104932771 | Thomas Newby Braxtan IIi | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| 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 |
|---|---|---|---|---|
| 1477669026 | Guruswamy Ramamurthy | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2006-08-23 |
| 1215989256 | Celestino Palomino | Internal Medicine | 3701 Manatee Ave W, Bradenton, FL 34205-1711 | 2006-05-17 |
| 1770874141 | Arleta Anna Kitlas, M. D., Pa | Internal Medicine | 5015 Manatee Ave W, Bradenton, FL 34209-3857 | 2011-04-20 |
| 1831377399 | Jennifer Calara Bala | Internal Medicine | 3701 Manatee Ave W, Bradenton, FL 34205-1711 | 2008-02-07 |
| 1679767677 | Myra Drew Carreon | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2007-09-01 |
| 1891985396 | Arleta A Kitlas | Internal Medicine | 3915 8th Ave W, Bradenton, FL 34205-1701 | 2007-07-31 |
| 1043335813 | Manatee Kidney Diseases Consultants | Internal Medicine | 3701 Manatee Ave W, Bradenton, FL 34205-1711 | 2007-03-20 |
| 1588719298 | Hakan R. Toka | Internal Medicine | 3701 Manatee Ave W, Bradenton, FL 34205-1711 | 2007-01-24 |
| 1104932771 | Thomas Newby Braxtan IIi | Internal Medicine | 508 Manatee Ave E, Bradenton, FL 34208-1146 | 2006-08-23 |
| 1477506046 | Arys Daniel Celaya | Internal Medicine | 3701 Manatee Ave W, Bradenton, FL 34205-1711 | 2006-05-18 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on KIDNEY DISEASE CONSULTANTS OF BRADENTON PA.
| 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.