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NPI 1740959808ActiveOrganization· Family Medicine· Bradenton, FL

Family Medicine in Bradenton, Florida, registered in NPPES in September 2021. The authorized official on file is Derek Kamajian, Vp Operations.

Overview

NPI1740959808
StatusActive
Entity typeOrganization
NPI issuedSep 10, 2021
Last updated in NPPESNov 2, 2023
Certified by providerSep 10, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Bradenton

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