West Florida Trauma Network, LLC
NPI 1902198948ActiveOrganization· Surgery, Trauma Surgery· Bradenton, FL
Surgery, Trauma Surgery in Bradenton, Florida, registered in NPPES in May 2011. The authorized official on file is William Tedrick Johnson, Group Vice President/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902198948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2011 |
| Last updated in NPPES | Oct 15, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
| Oral & Maxillofacial Surgery | 204E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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