BRADENTON SURGICAL GROUP PA – NPI #1164418182
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

BRADENTON SURGICAL GROUP PA is a surgeon located in BRADENTON, FL. NPPES has assigned the NPI number 1164418182 to BRADENTON SURGICAL GROUP PA on September 26, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRADENTON SURGICAL GROUP PA below.

NPI Profile for
BRADENTON SURGICAL GROUP PA

NPI Number
1164418182
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRADENTON SURGICAL GROUP PA
Primary location
200 3RD AVE W
STE 110
BRADENTON, FL 34205-8626
Phone: (941) 744-2700 Fax: (941) 744-2705
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY BUNCH
OWNER
Phone: (941) 744-2700
Updated
Identifiers

Identifiers for BRADENTON SURGICAL GROUP PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAFL7385373
OTHERBCBSFL94850
OTHERRAIL ROAD MEDICAREFLCK2566
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.