EDWARD HERRMAN (NPI# 1518950187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518950187 |
| Entity Type | Individual |
| Full Name | EDWARD HERRMAN |
| Credential | MD |
| Practice Address |
200 3rd Ave W Suite 210 Bradenton FL 34205-8626 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Fort Myers FL 33907-1412 |
| Practice Telephone | 9417920340 |
| Practice Fax Number | 9415671124 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0062922 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 17999 | 01 |
| FL | MEDICARE RAILROAD | 340007838 | 01 |
| FL | UNIVERSAL | 08971 | 01 |
| FL | OPTIMUM | P939407 | 01 |
| FL | AETNA | 4386620 | 01 |
| FL | FREEDOM HEALTH | P102262 | 01 |
| FL | 012602900 | 05 | |
| FL | RAILROAD MCR | P01040801 | 01 |
| FL | WELLCARE | 1193128 | 01 |
| GA | CLEAR HEALTH ALLIANCE | P01781536 | 01 |
| FL | AVMED | 206590 | 01 |
| Street Address |
200 3RD AVE W SUITE 210 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831557966 | David Deering | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2016-02-03 |
| 1801157474 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2012-05-31 |
| 1780957696 | Genesiscare Usa of Florida LLC | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2012-02-23 |
| 1841507738 | Florida Medical Specialists LLC | Internal Medicine | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2010-09-13 |
| 1326213091 | Janine Rae Zaccagnino | Nurse Practitioner | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2008-04-24 |
| 1487869400 | Sean Alexander Castellucci | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2007-05-12 |
| 1295869535 | Catherine Mcging | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2007-03-16 |
| 1427135714 | Neurospinal Associates Pa | Neurological Surgery | 200 3rd Ave W, Suite 200, Bradenton, FL 34205-8626 | 2006-11-01 |
| 1669488839 | Manatee Urology Pa | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205 | 2006-07-31 |
| 1730104837 | Debra S Dougherty | Nurse Practitioner | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121770 | Florida Medical Specialists, LLC | Urology | 2302 60th Street Ct. W., Bradenton, FL 34209-0000 | 2018-07-27 |
| 1992071252 | Ricardo Dario Gonzalez | Urology | 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | 2012-03-30 |
| 1649379371 | John S Gatewood | Urology | 316 53rd Ave E, Bradenton, FL 34203-4706 | 2006-09-21 |
| 1114930401 | Urology Partners Pa | Urology | 200 3rd Ave West, Suite 200, Bradenton, FL 34205 | 2006-08-15 |
| 1629009089 | George Bino Rucker | Urology | 6124 53rd Ave E, Bradenton, FL 34203-9707 | 2006-07-05 |
| 1316912132 | Charles T Polis Jr Md Pa | Urology | 1410 59th Street W, Bradenton, FL 34209 | 2006-02-23 |
| 1235122631 | Kenneth R Fiscella | Urology | 1410 59th St W, Bradenton, FL 34209-4607 | 2005-08-31 |
| 1326535873 | Uphealth LLC | Urology | 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | 2018-04-20 |
| 1780957696 | Genesiscare Usa of Florida LLC | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2012-02-23 |
| 1013291913 | 21st Century Oncology LLC | Urology | 1410 59th St W, Bradenton, FL 34209-4607 | 2011-10-11 |
| Find all providers in BRADENTON | ||||
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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.