DR. MICHAEL BRADLEY SMALL


Address: 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005
Phone: 8132646490

DR. MICHAEL BRADLEY SMALL (NPI# 1811182199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811182199
Entity Type Individual
Full Name DR. MICHAEL BRADLEY SMALL
Credential M.D.
Practice Address 4211 Van Dyke Rd
#200
Lutz
FL 33558-8005
Mailing Address 2995 Drew St Fl 2
Clearwater
FL 33759-3012
Practice Telephone 8132646490
Practice Fax Number 8134438143
Mailing Telephone 7275321355
Mailing Fax Number 8136352613
Enumeration Date 2007-09-11
Last Update Date 2020-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME104627 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 003017701 05

Other Providers MICHAEL SMALL

NPI Name Taxonomy Address Enumeration
1992914360 Michael J Small Clinical Neuropsychologist 49 Fawn Way, Long Lake, NY 12847-0130 2007-05-22
1770619868 Michael Small Urology 1607 N Briarcliff Dr, Appleton, WI 54915-2838 2007-02-26
1043717754 Michael Bradley Small Student in an Organized Health Care Education/Training Program 320 E North Ave, Pittsburgh, PA 15212-4756 2018-04-09
1992817696 Michael L. Small Thoracic Surgery (Cardiothoracic Vascular Surgery) 2100 Webster St Ste 200, San Francisco, CA 94115-2375 2006-08-31

Office Location

Street Address 4211 VAN DYKE RD
#200
City LUTZ
State FL
Zip Code 33558-8005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306841937 Ronald Eugene Stephans Jr. Family Medicine 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 2005-06-20
1871119008 Jeysi Alvarez Anesthesiologist Assistant 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-06-23
1548884364 Garren Dial Anesthesiologist Assistant 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-06-08
1861028409 Chf Care Pllc Internal Medicine 4211 Van Dyke Rd, Lutz, FL 33558-8005 2020-03-16
1861850117 Baycare Medical Group Pediatric Walk-in Care LLC Pediatrics 4211 Van Dyke Rd, Suite 100, Lutz, FL 33558-8005 2016-02-02
1457623233 St Josephs Hopsital Nurse Practitioner 4211 Van Dyke Rd, Lutz, FL 33558-8002 2012-02-08
1710266507 Emergency Medical Associates of Tampa Bay LLC Emergency Medicine 4211 Van Dyke Rd, Lutz, FL 33558-8002 2011-08-10
1194016006 Tampa Cardiac Specialists LLC Internal Medicine 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 2011-04-26
1710277249 Brett A Armstrong Surgery 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 2011-04-18
1881995579 Deana M Lantz Nurse Practitioner 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 2010-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801353792 Oral Maxillofacial and Implant Specialists, LLC Dentist 4675 Van Dyke Rd., Lutz, FL 33558 2019-02-27
1780175273 Elder Services of Central Florida, Inc Home Health 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 2018-05-21
1356843106 Physicial Medicine & Rehab Consultants Clinic/Center 18865 State Road 54 Ste 301, Lutz, FL 33558 2018-03-07
1376905851 Michelle Renee Story Contractor 20921 Haulover Cv. #f6, Lutz, FL 33558 2016-03-24
1992192223 Melissa Sonia Giblin Specialist/Technologist, Other 17535 Darby Ln, Lutz, FL 33558 2015-04-24
1396177739 Zoe Scripts Laboratory Services LLC Clinical Medical Laboratory 4969 Van Dyke Rd., Lutz, FL 33558 2013-08-08
1649617705 Suzanne Marie Newby Physician Assistant 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 2013-05-30
1073889572 Julie J. Mckean, Lmhc, Ncc, LLC Counselor 4929 Van Dyke Road, Lutz, FL 33558 2012-03-29
1750524864 Sheetal Suryawanshi Dentist 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 2009-04-20
1063675478 Juan J Egas Physical Medicine & Rehabilitation 17807 Hunting Bow Cir, Lutz, FL 33558 2008-07-07
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831565688 Advanced Care Gastroenterology Associates Internal Medicine 17720 Daisy Farm Dr, Lutz, FL 33559-3940 2015-08-17
1770746190 Roland L Chin-lue Internal Medicine 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 2008-07-07
1356321806 Christian Said Najeep Bailey Internal Medicine 4211 Van Dyke Rd, #200, Lutz, FL 33558-8005 2006-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093321382 Charlotte Harbor Gastroenterology LLC Internal Medicine 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 2020-09-22
1750907614 Michael G. Valladares D.o. P.a. Internal Medicine 10302 Sw 116th St, Miami, FL 33176-4049 2020-06-17
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1750922399 Gastroenterology Care Specialists, LLC Internal Medicine 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 2019-10-04
1194375378 Digestive and Liver Disease Institute of Florida, LLC Internal Medicine 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 2019-09-18
1659833002 Steven L Diamond Internal Medicine 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 2019-04-04
1225507601 Linmec Corp Internal Medicine 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 2018-11-15
1912474156 Eileen E Kim Internal Medicine 5117 Fiorella Ln, Sanford, FL 32771-5449 2018-10-25
1790251197 Gabriel Benitez Internal Medicine 2330 Wilton Dr, Wilton Manors, FL 33305-1249 2018-10-23
1043786833 Union Medical Group Internal Medicine 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 2018-10-18
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Competitor

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City LUTZ
Zip Code 33558

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Dataset Information

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.

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