| Bradenton East Integrative Medicine | |
|
8614 East State Road 70 Ste 200 Bradenton FL 34202-3710 | |
| (941) 727-1243 | |
| (941) 751-9039 |
| Full Name | Bradenton East Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 8614 East State Road 70, Bradenton, Florida |
| Authorized Official Name and Position | Karen O Brainard (PRESIDENT) |
| Authorized Official Contact | 9418078066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradenton East Integrative Medicine 8614 East State Road 70 Ste 200 Bradenton FL 34202-3710 Ph: (941) 727-1243 | Bradenton East Integrative Medicine 8614 East State Road 70 Ste 200 Bradenton FL 34202-3710 Ph: (941) 727-1243 |
| NPI Number | 1396922183 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 5092885087 |
|---|---|
| Medicare Enrollment ID | O20080603000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396922183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94066 (Florida) | Primary |
| Provider Name | Deborah L Howard Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497783948 PECOS PAC ID: 7113981572 Enrollment ID: I20050121000750 |
| Provider Name | Karen O Brainard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938549 PECOS PAC ID: 2264467109 Enrollment ID: I20070209000027 |
| Provider Name | Roberta Lynn James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952593006 PECOS PAC ID: 9638259369 Enrollment ID: I20080107000725 |
| Provider Name | Carol V Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578591830 PECOS PAC ID: 7416093265 Enrollment ID: I20091007000747 |
| Provider Name | Camille A Kasten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760359 PECOS PAC ID: 3476861782 Enrollment ID: I20151007001108 |
| Provider Name | Samantha Notman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366884660 PECOS PAC ID: 8123315272 Enrollment ID: I20160917000367 |
| Provider Name | Charles E Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478649 PECOS PAC ID: 8224305743 Enrollment ID: I20170603000179 |
| Provider Name | Bridgett Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104501 PECOS PAC ID: 2264707009 Enrollment ID: I20171004003546 |
| Provider Name | Jodie Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639604556 PECOS PAC ID: 2961778295 Enrollment ID: I20171031003284 |
| Provider Name | Gilberto Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598303984 PECOS PAC ID: 8224449608 Enrollment ID: I20201117000779 |
| Provider Name | Rhonda V Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164960696 PECOS PAC ID: 5193001840 Enrollment ID: I20201215000297 |
| Provider Name | Derek J Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003428707 PECOS PAC ID: 4688080310 Enrollment ID: I20210304000762 |
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Verimed Health Group Bradenton Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Riverside Dr E, Suite 3900, Bradenton, FL 34208 Phone: 813-415-5038 | |
Universal Wellness Group, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 59th St W, Bradenton, FL 34209 Phone: 941-238-9900 Fax: 941-238-9770 | |
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