DR. JOHN R. BROSHEARS (NPI# 1295711018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295711018 |
| Entity Type | Individual |
| Full Name | DR. JOHN R. BROSHEARS |
| Credential | MD |
| Practice Address |
2020 59th St W Bradenton FL 34209-4604 |
| Mailing Address |
P.o. Box 15079 Bradenton Pathology, P.a. Bradenton FL 34280 |
| Practice Telephone | 9417986177 |
| Practice Fax Number | 9417986168 |
| Mailing Telephone | 9417986177 |
| Mailing Fax Number | 9417986168 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME0037595 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01029754A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200297250A | 05 | |
| IN | MPLAN | 000000009158 | 01 |
| IN | ANTHEM | 000000092720 | 01 |
| Street Address |
2020 59TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093857 | Laura Velcu | Surgery | 2020 59th St W, Bradenton, FL 34209-4604 | 2005-06-16 |
| 1437757127 | Sunshine State Anesthesia Partners | Anesthesiology | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-10-14 |
| 1942811419 | Natalya A Kollektsionova | Registered Nurse | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-08-10 |
| 1821616426 | Heather Horne | Nurse Practitioner | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-07-09 |
| 1043849292 | Pooja V Patel | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-08 |
| 1073142485 | Benjamin Thomas Ihde | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4669 | 2020-04-07 |
| 1417586066 | James Anthony Hubert | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1134758600 | Amanda Holstein | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1376172924 | Cory Quinlan | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-04-06 |
| 1467081158 | Dana Most | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780978361 | Bradenton Pathology Pa | Pathology | 5105 Manatee Ave W, Bradenton, FL 34209-3715 | 2011-06-01 |
| 1972753929 | Mark Allen Best | Pathology | 5000 Lakewood Ranch Blvd, Bradenton, FL 34211-4909 | 2008-09-26 |
| 1699986398 | Maurice Saunders | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2007-05-24 |
| 1932265824 | Gregory Skarulis | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2006-12-28 |
| 1255497152 | Thomas Farrell | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2006-12-28 |
| 1013073865 | Martha C Lehman | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2006-12-28 |
| 1801985601 | Bradenton Pathology Pa | Pathology | 2020 59th St W, Bradenton, FL 34209-4604 | 2006-10-12 |
| 1285739938 | Manatee Pathology Associates, Pa | Pathology | 206 2nd St E, Bradenton, FL 34208-1042 | 2006-09-14 |
| 1407812183 | Gary Edward Senteney | Pathology | 2020 59th St W, Blake Hospital Pathology, Bradenton, FL 34209-4604 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
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| 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.