Provider Demographics
NPI:1821021262
Name:BRADENTON PULMONARY CONSULTANTS PA
Entity Type:Organization
Organization Name:BRADENTON PULMONARY CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANIBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-907-9000
Mailing Address - Street 1:8340 LAKEWOOD RANCH BLVD
Mailing Address - Street 2:STE 330
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5180
Mailing Address - Country:US
Mailing Address - Phone:941-907-9000
Mailing Address - Fax:941-907-9073
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD
Practice Address - Street 2:STE 330
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-5180
Practice Address - Country:US
Practice Address - Phone:941-907-9000
Practice Address - Fax:941-907-9073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2900592OtherGHI
FLDF5399OtherRAIL ROAD MEDICARE
FL7588325OtherAETNA
FL77848OtherBCBS
FL2900592OtherGHI