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KIDNEY DISEASE CONSULTANTS OF BRADENTON PA NPI 1609982214


NPI Information

NPI: 1609982214
Provider Name: KIDNEY DISEASE CONSULTANTS OF BRADENTON PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 10D1006245

Address:
508 MANATEE AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 744-0024
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KIDNEY DISEASE CONSULTANTS OF BRADENTON PA is a nephrology internal medicine in Bradenton, FL. The provider is 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. KIDNEY DISEASE CONSULTANTS OF BRADENTON PA NPI is 1609982214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

508 MANATEE AVE E
BRADENTON, FL
ZIP 34208-146
Phone: (941) 744-0024
Fax: (941) 746-1048

The provider's authorized official is Thomas Newby Braxtan .
The authorized official title is President and has the following contact phone number (941) 744-0024.

The CLIA number assigned to this NPI record is 10D1006245 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 12/18/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CE7954OTHERFLORIDARAILROAD MEDICARE
239285MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.