JOHN BART HODGENS (NPI# 1710106521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710106521 |
| Entity Type | Individual |
| Full Name | JOHN BART HODGENS |
| Credential | PH.D. |
| Practice Address |
5325 26th St W Bradenton FL 34207-3012 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417527173 |
| Practice Fax Number | 9415676277 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8338 | FL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
475 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 000075068 | 05 | |
| FL | 003995100 | 05 | |
| AL | BLUECROSS AND BLUESHIELD | 051075068 | 01 |
| Street Address |
5325 26TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757926 | Donna Ellzey Dillon | Nurse Practitioner | 5325 26th St W, Bradenton, FL 34207-3012 | 2005-08-15 |
| 1427604735 | Mcr Health, Inc. | Clinic/Center | 5325 26th St W, Bradenton, FL 34207-3012 | 2019-08-13 |
| 1295292381 | Jonni E Kitchell | Social Worker | 5325 26th St W, Bradenton, FL 34207-3012 | 2019-02-25 |
| 1194258566 | Brittany Moore | Family Medicine | 5325 26th St W, Bradenton, FL 34207-3012 | 2017-04-04 |
| 1568816585 | Discount Rx LLC | Pharmacy | 5325 26th St W, Suite 2, Bradenton, FL 34207-3012 | 2016-04-15 |
| 1407223639 | Kenneth Williams | Case Manager/Care Coordinator | 5325 26th St W, Bradenton, FL 34207-3012 | 2015-08-24 |
| 1538540232 | Megan Miller | Registered Nurse | 5325 26th St W, Bradenton, FL 34207-3012 | 2015-06-18 |
| 1811384621 | Barbara Zych | Registered Nurse | 5325 26th St W, Bradenton, FL 34207-3012 | 2015-04-20 |
| 1528475324 | Brock Hollett | Psychiatry & Neurology | 5325 26th St W, Bradenton, FL 34207-3012 | 2014-07-14 |
| 1093138638 | Dwana M Staples | Counselor | 5325 26th St W, Bradenton, FL 34207-3012 | 2014-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006310 | Bryant Psychological Services, Inc | Psychologist | 1923 Saint George Dr, Bradenton, FL 34208-1537 | 2014-06-02 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1558490987 | Robert J Greene | Psychologist | 5190 26th St W Ste F, Bradenton, FL 34207-2200 | 2007-03-02 |
| 1194889907 | Michael Barry Lipscomb | Psychologist | 12505 Cara Cara Loop, Bradenton, FL 34212-2949 | 2006-12-19 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1619906799 | Cassie Jo Leutzinger | Psychologist | 3914 E State Road 64, Bradenton, FL 34208-9059 | 2006-07-01 |
| 1336131945 | Jennie Lynne Robb | Psychologist | 9070 58th Drive East #102, Bradenton, FL 34202 | 2005-08-19 |
| 1174526578 | Mary Ann Clark | Psychologist | 300 Riverside Dr E, Ste 2000, Bradenton, FL 34208-1023 | 2005-05-31 |
| 1194294181 | Betsy Elsasser | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-11-19 |
| 1376098673 | Pamela Denison | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2016-08-17 |
| Find all providers in BRADENTON | ||||
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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.