BRADENTON INTERNAL MEDICINE PA NPI 1124188685

NPI Information

  • NPI: 1124188685
  • Provider Name: BRADENTON INTERNAL MEDICINE PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 701 MANATEE AVE W
    SUITE 101
    BRADENTON, FL
    ZIP 34205
  • Phone: (941) 748-3065

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NPI Details

BRADENTON INTERNAL MEDICINE PA is a specialist in Bradenton, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRADENTON INTERNAL MEDICINE PA NPI is 1124188685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 MANATEE AVE W
SUITE 101
BRADENTON, FL
ZIP 34205-604
Phone: (941) 748-3065
Fax: (941) 748-8485

The provider's authorized official is Rochelle Ann Romines .
The authorized official title is Office Manager and has the following contact phone number (941) 748-3065.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME41570FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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